Iep Revision Form - South Bend Community School Corporation Special Education Department
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13South Bend Community School Corporation
Special Education Department
IEP Revision
Student: ______________________________ STN: ______________________ Revise IEP of ____________________
Effective Dates:
Begin date: _____________________________ End date: __________________________________
This document is to be used only when an IEP has been finalized for next school year, and the current IEP needs to be
revised.
Can NOT use for eligibility, testing decisions, diploma/certificate track
When complete, upload this document into the IIEP under the Documents tab.
Use the Notice from the IEP Forms page.
Use only the pages you need, and include only the pages you use.
Attach the pages of this document to the current IEP (NOT next year’s IEP), and cross off the portions of the current IEP
or make notations where changes have been made.
If you fill out these pages on your computer, you can directly upload the saved document into the Document section of
IIEP. If you would like to have downtown upload the document, print out the EasyFAX Cover Sheet – General Fax form,
and include it with all the paperwork from the conference when you send it downtown.
If decisions made at this conference will effectively change the future IEP, those changes must be made by you also.
This form is only to be used when an IEP has been finalized for future dates, and a revision is required for the currently
valid IEP. It is not to be used when there are questions of eligibility or state assessment.
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