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Manifestation Determination Review
Manifestation Determination Review
Handle: Document-4160
Owner: Site Administrator (User-2, admin:DocuShare)DS
Monday, July 6, 2009 09:26:41 AM CDT
Monday, July 6, 2009 04:43:16 PM CDT
Modified By: Site Administrator (User-2, admin:DocuShare)DS
Locked By:
  • 9/05 MANIFESTATION DETERMINATION REVIEW Student’s Name: Date: School: Grade: Summary of the information considered: A.
  • Student’s behavior B.
  • Student’s IEP C.
  • Teacher observation of the student Relevant information provided by the parent E.
  • Any other relevant information.
  • Was the conduct in question caused by or have a direct and substantial relationship to the child’s disability? TEAM MEMBERS PRESENT NAME TITLE NAME TITLE DISSENTING OPINION TEAM MEMBERS: NAME TITLE NAME TITLE Attachments: YES or NO
Allowed
Microsoft Office Word (.doc, .dot) - application/msword
ManifRev.doc
No
4
46080
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Appears In: Forms
Preferred Version: ManifRev

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