Special Education

Plan for Special Education Services and Programs

Decision Chart [PDF]
Delay-Initial Eval (Aug. 2011) (formerly Perm. to Delay) [PDF]
Delay-Initial Eval (Aug. 2011) (formerly Perm. to Delay) [DOC]
Ear Lab Permission -Revised 2-2021 [PDF]
Evaluation Reimbursement [PDF]
Hearing Screening Permission Rev. 4-2019 [PDF]
Observational Data Report [PDF]
Observational Data Report [DOC]
Parent Input [PDF]
REED - You must complete an electronic form
Re-Evaluation Parent Input [PDF]
Vision Screening Permission [PDF] Updated 10-4-2021
VI-2 Eye Report [PDF]

Referral Process (Aug. 2008)

COPESD Team Observation [DOCX]
Developmental and Social History for ASD [PDF]
Documentation of Observation [DOCX]
Evaluation Components Checklist [DOCX]
Observation Probe Questions [PDF]
Quadrant Activity for Data Review [DOCX]
Summary of Eligibility

Action Plan
Authorization to Administer Medication
Behavior Support Plan
Bus Use Chart [DOC]
COP Classroom Behavior Incident Report [DOC]
SWIS Classroom Behavior Categories [PDF]
Classroom Outing - Vehicle Permission [DOC]
Information Booklet for COP ESD Classroom Programs [PDF]
Medication Sheet [DOC]
Michigan Student Data Systems Information [PDF]
Parent-Student Permission [DOC]
Permission Form [PDF]
OT PT AT O&M PC SLI Script (Gordon) (Combined 2016-17) [PDF]
OT PT AT O&M PC SLI Script (Any Dr.)
Physician Information Sheet Rev. 8-2019 [DOC]
Release of Information [DOC]
Release of Information [PDF]
Student Emergency Form
Student Progress Report IEP Goals [PDF]
Student Progress Report IEP Goals [DOC]
Transportation Plan [DOC]

Documentation Guidlines for COP ESD (Revised Fall 2018)
Timelines for Special Education (Revised Fall 2018)
When Should the REED Process Occur?(Revised Fall 2018)?
Re-Eval REED, MET, IEP Process  (Revised Fall 2018)
Initial REED, MET, IEP Process  (Revised Fall 2018)

Annual Goal Page [PDF]
Chairperson Checklist - Elementary [DOC]
Chairperson Checklist - Secondary [DOC]
Consent for Agency Invitation Rev. 10-2010 (Transition IEP) [DOC]
Consent for Agency Invitation Rev. 10-2010 (Transition IEP) [DOC]
Excusal of IEP Team Member [PDF]
FAPE Notice for Initial Provision of Services and Programs [PDF]
FAPE Re-Eval Notice for Provision of Services and Programs (Annual Renewal) [PDF]
Graduation Change in Placement Notice [PDF]

IEP Amendment including FAPE (Re-eval) MUST BE COMPLETED IN EDPlan / Eiep

IEPT Invitation [DOC]
Manifestation Determination Review (Feb. 2010) [PDF]
Notification of Staff Responsibilities [PDF]
Request for Confined Students [PDF]

The following documents are for viewing purposes only.

IEP Report [PDF]
Transition IEP Report [PDF]

• Autism Spectrum Disorder
• Cognitive Impairment
• Deaf - Blindness
• Early Childhood Developmental Delay Worksheet
• Emotional Impairment
• Hearing Impairment and Certification
• Other Health Impairment (3pgs)
• Physical Impairment (3pgs)
• Specific Learning Disability Worksheet
• Specific Learning Disability Worksheet (Template)
• Speech & Language Impairment (Template)
• Severe Multiple Impairment
• Traumatic Brain Injury (3pgs)
• Teacher Checklist Supplement PI OHI TBI
• Visual Impairment (Template)
• Visual Impairment

Specific Learning Disability (SLD) Eligibiilty Process

Articulation Annual Progress Report
Articulation Annual Progress Report
Articulation - Present Levels of Performance
Articulation Checklist for Preschoolers/Kindergartners - Present Levels of Performance
Articulation Initial Evaluation Report
Articulation Initial Evaluation Report
Daily Lesson Plans
Fluency - Present Levels of Performance
Language Checklist for Preschoolers/Kindergartners - Present Levels of Performance
Language - Present Levels of Performance
Parent Input
Parent Letter NOT at IEP
Present Level of Educational Performance
Present Level of Educational Performance
Special Services Student Progress Report
Speech/Language Case History
Speech/Language Progress Report Card
Speech & Language Annual Review (IEP) Progress Report
Speech & Language Evaluation Report
Speech & Language Preschool Follow-Up Summary
Speech - Physician Referral (Combined form 2016-17)
Speech/Language Team Diagnostic Report
Speech/Language Team Diagnostic Report
Voice - Present Levels of Performance

Graduation Change in Placement Notice [PDF]
Registry Update (Jan. 2013) [PDF]
Registry Update (Jan. 2013) [DOC]
Release of Information [PDF]
Release of Information [DOC]
Procedures for Special Education (Oct. 2012) [PDF]
Notice of Enrollment/Student Activation (Sept. 2014) [PDF]
Summary of Performance (SOP) INSTRUCTIONS ONLY (Use form/s BELOW to complete information) [PDF]
Summary of Performance (To be completed using INSTRUCTIONS above) [PDF]
Summary of Performance (To be completed using INSTRUCTIONS above) [DOC]
Guidance Document for Revocation of Parental Consent for Special Education Programs and Services [PDF]