Quick - Traverse Bay Area Intermediate School …

1 August 2010 Michigan Department of EducationOffice of Special Education and Early Intervention ServicesIEP AmendmentTips for Developing a Qualityand Compliant Individualized Education Program (IEP)QuickReferenceGuideChecklistComplet ed the student Finformation the purpose of Fthe meeting, including identification of each area of the IEP being the Participants in FAgreement each section identified Funder the Purpose, corresponding information is provided on the amendment for that section (Sections 1-7).Provided Notice to the parent. FMichigan Department of Education, office of Special Education and Early Intervention Services August 2010 Student Information: Fill in the student name, date of birth, and Unique Identification Code (UIC).

2 No further demographic information is needed since an amendment is to make changes to an IEP during the year it is in effect. The IEP date on the amendment is to match the date of the district s offer of a free appropriate public education (FAPE) for the IEP being amended. The amendment date is to be documented as the date of the provision of Notice provided for the IEP Amendment 1 Michigan Department of Education, office of Special Educationand Early Intervention ServicesOSE-EIS ModelForm IEP Amendment00 2 Q August2010 Individualized Education Program (IEP) AmendmentStudentLast: First: M:Birth Date:UIC:DatesIEP:Amendment:PURPOSEThe purpose of this IEP amendmentis to add, remove, or modify content in (check all that apply):Section 1.

3 Demographic ction 2: Present Level of Academic Achievement and Functional 3: Secondary Transition 4: Goals and 5: Supplementary Aids and 6: 7: Special Education Services and :__ _____PARTICIPANTS IN AGREEMENTP arent:_____District Representative: _____Changes to Section 1: Demographic InformationThe following modifications are being made toDemographic Information: _____ _____Changes to Section 2: Present Level of Academic Achievementand Functional PerformanceThe following modifications are being made to Present Level of Academic Achievement and Functional Performance: _____Changes to Section 3: Secondary Transition ConsiderationsThe following modifications are being made to Secondary Transition Considerations: _____ _____Michigan Department of Education, office of Special Educationand Early Intervention ServicesOSE-EIS ModelForm IEP Amendment00 2 Q August2010 Individualized Education Program (IEP) AmendmentStudentLast.

4 First: M:Birth Date:UIC:DatesIEP:Amendment:PURPOSEThe purpose of this IEP amendmentis to add, remove, or modify content in (check all that apply):Section 1: Demographic ction 2: Present Level of Academic Achievement and Functional 3: Secondary Transition 4: Goals and 5: Supplementary Aids and 6: 7: Special Education Services and :__ _____PARTICIPANTS IN AGREEMENTP arent:_____District Representative: _____Changes to Section 1: Demographic InformationThe following modifications are being made toDemographic Information: _____ _____Changes to Section 2: Present Level of Academic Achievementand Functional PerformanceThe following modifications are being made to Present Level of Academic Achievement and Functional Performance: _____Changes to Section 3: Secondary Transition ConsiderationsThe following modifications are being made to Secondary Transition Considerations: _____ _____Participants in Agreement.

5 The parent of the student with a disability and the district may agree not to convene an IEP team meeting for the purposes of making changes, and instead may develop a written document to amend or modify the current IEP. This section documents parent and district agreement for an IEP amendment. [ ]Michigan Department of Education, office of Special Educationand Early Intervention ServicesOSE-EIS ModelForm IEP Amendment00 2 Q August2010 Individualized Education Program (IEP) AmendmentStudentLast: First: M:Birth Date:UIC:DatesIEP:Amendment:PURPOSEThe purpose of this IEP amendmentis to add, remove, or modify content in (check all that apply):Section 1: Demographic ction 2: Present Level of Academic Achievement and Functional 3: Secondary Transition 4.

6 Goals and 5: Supplementary Aids and 6: 7: Special Education Services and :__ _____PARTICIPANTS IN AGREEMENTP arent:_____District Representative: _____Changes to Section 1: Demographic InformationThe following modifications are being made toDemographic Information: _____ _____Changes to Section 2: Present Level of Academic Achievementand Functional PerformanceThe following modifications are being made to Present Level of Academic Achievement and Functional Performance: _____Changes to Section 3: Secondary Transition ConsiderationsThe following modifications are being made to Secondary Transition Considerations: _____ _____Purpose: Identify the section of the IEP that will be modified or purpose of the Individualized Education Program (IEP) Amendment is to make changes to a student s IEP during the time it is in effect.

7 The parent of the student with a disability and the district may agree not to convene an IEP team meeting for the purposes of making changes, and instead may develop a written document to amend or modify the current IEP. [ (a)(4)]Note: An amendment does not replace the requirement to hold an annual IEP. [ (a)]When substantial or comprehensive changes need to be made to a student s IEP, it is recommended that an IEP team meeting be convened to develop a new Department of Education, office of Special Education and Early Intervention Services August 2010 IEP Amendment 2 Michigan Department of Education, office of Special Educationand Early Intervention ServicesOSE-EIS ModelForm IEP Amendment00 2 Q August2010 Individualized Education Program (IEP) AmendmentStudentLast: First: M.

8 Birth Date:UIC:DatesIEP:Amendment:PURPOSEThe purpose of this IEP amendmentis to add, remove, or modify content in (check all that apply):Section 1: Demographic ction 2: Present Level of Academic Achievement and Functional 3: Secondary Transition 4: Goals and 5: Supplementary Aids and 6: 7: Special Education Services and :__ _____PARTICIPANTS IN AGREEMENTP arent:_____District Representative: _____Changes to Section 1: Demographic InformationThe following modifications are being made toDemographic Information: _____ _____Changes to Section 2: Present Level of Academic Achievementand Functional PerformanceThe following modifications are being made to Present Level of Academic Achievement and Functional Performance: _____Changes to Section 3: Secondary Transition ConsiderationsThe following modifications are being made to Secondary Transition Considerations.

9 _____ _____Michigan Department of Education, office of Special Educationand Early Intervention ServicesOSE-EIS ModelForm IEP Amendment00 2 Q August2010 Individualized Education Program (IEP) AmendmentStudentLast: First: M:Birth Date:UIC:DatesIEP:Amendment:PURPOSEThe purpose of this IEP amendmentis to add, remove, or modify content in (check all that apply):Section 1: Demographic ction 2: Present Level of Academic Achievement and Functional 3: Secondary Transition 4: Goals and 5: Supplementary Aids and 6: 7: Special Education Services and :__ _____PARTICIPANTS IN AGREEMENTP arent:_____District Representative: _____Changes to Section 1: Demographic InformationThe following modifications are being made toDemographic Information: _____ _____Changes to Section 2: Present Level of Academic Achievementand Functional PerformanceThe following modifications are being made to Present Level of Academic Achievement and Functional Performance: _____Changes to Section 3.

10 Secondary Transition ConsiderationsThe following modifications are being made to Secondary Transition Considerations: _____ _____Michigan Department of Education, office of Special Educationand Early Intervention ServicesOSE-EIS ModelForm IEP Amendment00 2 Q August2010 Individualized Education Program (IEP)