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HORNBOOK OF FORMS REGARDING CHILDREN WITH DISABILITIES
 

TABLE OF FORMS

 

TAB FORM NO. TITLE

PAGE #
WITHIN SECTION

1 HSF-1 NOTICE OF STUDENT SUSPECTED OF HAVING A DISABLING CONDITION FOR STUDENT WHO HAS NOT BEEN PREVIOUSLY CLASSIFIED

2

2 HSF-2 NOTICE OF STUDENT SUSPECTED OF HAVING A DISABLING CONDITION FOR STUDENT WHO HAS NOT BEEN PREVIOUSLY CLASSIFIED

3

  SED SED PROCEDURAL SAFEGUARD RIGHTS

5

  HSF-2A FREE OR LOW-COST LEGAL SERVICES AND SOURCES TO GET ASSISTANCE IN UNDERSTANDING SPECIAL EDUCATION PROCESS AND PARENT RIGHTS

6

  HSF-2B PUBLIC AND PRIVATE AGENCIES WHERE PROFESSIONAL SERVICES MAY BE OBTAINED

7

  HSF-2C PARENTAL CONSENT FORM FOR INITIAL EVALUATION

9

  HSF-2d NOTICE OF COMPLAINT AND REQUEST FOR HEARING AND MEDIATION

10

  SED NEW YORK STATE EDUCATION DEPARTMENT FORM - REQUEST FOR DUE PROCESS PROCEEDING

14

  HSF-2E NOTICE TO AGENCY OF REQUEST FOR MEDIATION

16

3 HSF-3 AGREEMENT TO WITHDRAW REFERRAL OF STUDENT SUSPECTED OF HAVING A DISABLING CONDITION

3

  HSF-3A AGREEMENT WITH BUILDING ADMINISTRATOR TO WITHDRAW REFERRAL OF STUDENT SUSPECTED OF HAVING A DISABILITY

4

4 HSF-4 NOTICE OF RECOMMENDATION OF CLASSIFICATION, PLACEMENT, PROGRAM, AND RELATED SERVICES FOR STUDENT ENTERING SPECIAL EDUCATION FOR FIRST TIME

2

  HSF-4A GENERAL FORM OF CSE RECOMMENDATIONS

4

  HSF-4B PARENTAL CONSENT FORM FOR STUDENT ENTERING SPECIAL EDUCATION FOR FIRST TIME

7

  HSF-4C NOTICE OF RECOMMENDATION OF NO DISABILITY

9

5 HSF-5 RECOMMENDATIONS REGARDING STUDENT ENTERING SPECIAL EDUCATION FOR FIRST TIME, INCLUDING IEP

3

6 HSF-6 EVALUATION FOR SPECIFIC LEARNING DISABILITIES

5

7 HSF-7 CONTINUUM OF SERVICES REVIEWED

2

8 HSF-8 COVER LETTER FROM CSE TO BOARD ACCOMPANYING CSE RECOMMENDATIONS

2

9 HSF-9 GENERAL FORM OF NOTICE OF COMMITTEE ON SPECIAL EDUCATION MEETING

3

  HSF-9A PARENTAL REQUEST TO HAVE SCHOOL PHYSICIAN-MEMBER OF COMMITTEE ATTEND MEETING

5

  HSF-9B GENERAL FORM OF NOTICE TO STUDENT OF COMMITTEE ON SPECIAL EDUCATION MEETING WHERE TRANSITION SERVICES TO BE CONSIDERED

6

  HSF-9C PARENT REQUEST THAT PARENT MEMBER NOT ATTEND COMMITTEE MEETING

8

  HSF-9D PARENT CONFIRMATION OF REQUEST THAT PARENT MEMBER NOT ATTEND COMMITTEE MEETING

9

10 HSF-10 AGENDA FOR COMMITTEE ON SPECIAL EDUCATION MEETING

2

11 HSF-11 GENERAL FORM OF CSE NOTICE TO PARENT OF RECOMMENDATION TO BE MADE TO BOARD REGARDING STUDENT ALREADY IN SPECIAL EDUCATION PROGRAM

2

12 HSF-12 MINUTES OF COMMITTEE ON SPECIAL EDUCATION MEETING

2

13 HSF-13 NOTICE TO PARENT REGARDING REEVALUATION

3

  HSF-13A PARENTAL CONSENT FORM FOR REEVALUATION

5

14 HSF-14 NOTICE TO PARENT WHEN BOARD ACTS ON COMMITTEE RECOMMENDATIONS

7

15 HSF-15 EXECUTIVE SESSION MINUTES OF BOARD PERTAINING TO REVIEW OF CSE RECOMMENDATIONS

4

16 HSF-16 NOTICE OF RECOMMENDATION OF ELIGIBILITY OF STUDENT UNDER SECTION 504

6

  HSF-16A SECTION 504 ACCOMMODATION PLAN

8

  HSF-16B PARENTAL CONSENT FORM FOR INITIAL SPECIAL EDUCATION PLACEMENT/SERVICES

10

  HSF-16C PROCEDURES FOR HEARING AND APPEAL

11

  HSF-16C(1) FREE OR LOW-COST LEGAL SERVICES

13

  HSF-16D GRIEVANCE PROCEDURE

14

  HSF-16E SECTION 504 ANNUAL NOTICE

23

17 HSF-17 PROCEDURES FOR APPOINTING IMPARTIAL HEARING OFFICER

5

  HSF-17A BOARD RESOLUTION IN OPEN MEETING REGARDING APPOINTMENT OF IMPARTIAL HEARING OFFICER

6

  HSF-17B RECORD OF CONTACTS WITH INDIVIDUALS ON HEARING OFFICER LIST TO DETERMINE AVAILABILITY TO SERVE IN REGARD TO PENDING HEARING REQUEST

7

  HSF-17C NOTICE TO HEARING OFFICER OF APPOINTMENT BY BOARD OF EDUCATION

8

  HSF-17D NOTICE TO HEARING OFFICER OF APPOINTMENT BY PRESIDENT

9

18 HSF-18 BOARD POLICY - HEARING OFFICER EXPENSE REIMBURSEMENT

3

19 HSF-19 NOTICE OF MANIFESTATION MEETING

7

  HSF-19A NOTICE OF DETERMINATION REGARDING MANIFESTATION

9

20 HSF-20 BOARD POLICY -- INDEPENDENT EDUCATIONAL EVALUATION

3

21 HSF-21 NOTICE OF INTERIM PLACEMENT REGARDING INTRASTATE TRANSFER OF DISABLED STUDENT

5

  HSF-21A NOTICE OF INTERIM PLACEMENT REGARDING INTERSTATE TRANSFER OF DISABLED STUDENT

6

  HSF-21B PARENTAL CONSENT FOR INTERIM PLACEMENT

8

22 HSF-22 NOTICE PRIOR TO STUDENT'S GRADUATION

2

23 HSF-23 NOTICE TO PARENTS AND STUDENTS - ADULT SERVICES

1

24 HSF-24 ACCESS TO PARENTS' PRIVATE INSURANCE WRITTEN CONSENT

2

 

 

 

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Last modified: 01/11/08