RE-EVALUATION NOT NEEDED
AGREEMENT FORM
USD # _______
Date: __________________________________________
Student: ________________________________________
Date of last evaluation/re-evaluation: _________________
Name of parent(s)/decision maker: ___________________________________________
Name of school representative: ______________________________________________
Position of school representative: ____________________________________________
Special education laws require a re-evaluation of a child with an exceptionality at least once every three years, unless the school and the parent(s), or other legally authorized education decision maker, of the student agree that a re-evaluation is unnecessary.
The above named parent(s)/decision maker and school representative agree that a re-evaluation for the above named student is not necessary at this time, and therefore no re-evaluation will be conducted. Both parties understand that a re-evaluation may be requested by either party at any time in the future.
_____________________________________________________ ____________
Parent/Legal Decision Maker/Student if age 18 or more Date
_____________________________________________________ _____________
Parent/Legal Decision Maker/Student if age 18 or more Date
_____________________________________________________ _____________
School Representative Date
8/22/2005
Back to top