Written Agreements Between The Parent And The District Page 3

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Written Agreements between the Parent and the District
This form is used to:
Document new provisions for written agreements between parents and districts in IDEA 2004, and
document that staff have explained that the agreement is voluntary;
Document parent and district agreement that the district will not conduct a three-year re-evaluation,
which is permitted by IDEA 2004, 20 USC § 1414(a)(2)(B)(ii); 34 CFR 300.303; OAR 581-015-
2105;
Document parent and district agreement that specific members of the IEP team are not required to
attend a specific IEP meeting, in whole or in part, because the member’s area of curriculum or
related service is not being modified or discussed at the meeting, as permitted by IDEA 2004, 20
USC § 1414(d)(1)(C)(i); 34 CFR 300.321; OAR 581-015-2210;
Document parent and district informed consent to excuse the specific member(s) of the IEP team
from attending an IEP meeting, in whole or in part, when the meeting involves a modification to or
discussion of the member’s area of curriculum or related service if the member submits in writing to
the parent and other members of the IEP team input into the IEP before the meeting, as permitted
by IDEA 2004, 20 USC § 1414(d)(1)(C)(ii), 34 CFR 300.321; OAR 581-015-2210;
Document parent and district agreement that an IEP meeting is not necessary to revise the
student’s IEP between annual IEP meetings, as permitted by IDEA 2004, 20 USC § 1414(d)(3)(D);
34 CFR 300.324; OAR 581-015-2225;
For students who move from one school district to another school district in the middle of an
evaluation, document parent and district agreement on a time for completion of the evaluation, as
permitted by IDEA 2004, 20 USC § 1414(a)(1)(C)(ii); 34 CFR 300.323; OAR 581-015-2230;
For students evaluated for a specific learning disability, document parent and district agreement to
extend time for completion of evaluation. 34 CFR 300.309; OAR 581-015-2110; and
Document that parents have been given a copy of this completed form.
Directions:
1. Enter student’s name, birth date, student ID#, attending school and case manager.
2. The district staff person who is authorized to enter into a written agreement with the parent
explains to the parent that the agreement is voluntary. Write in the authorized staff person’s name
and the date this information is provided to the parent.
3. This form includes several different types of agreements. Select the agreement(s) that applies by
checking the box.
(1) Three year re-evaluation: If the parent and district agree that the district will not conduct a
three year re-evaluation, write in the date the three year evaluation would otherwise be
due. Parent and authorized district staff person each sign and date the agreement.
Note: Until OSEP issues regulations interpreting this provision, ODE will continue to
require that districts complete an eligibility determination form for each student at least
every three years. For now, an agreement that a three year re-evaluation is not necessary
has the same effect as a determination that additional evaluation is not necessary to
complete a re-evaluation. The only difference (for now) is that if the district and parent
agree to not conducting a three-year re-evaluation, the district would not be required to
Form # 581-1281-P (7/07)
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