Clear Form
ACADIA PARISH SCHOOL BOARD
Special Education Department
P. O. Drawer 309
Crowley, LA 70527-0309
(337-783-3171 or FAX 337-783-1232)
LETTER OF PRIOR NOTICE OF PROPOSED OR REFUSED ACTION
BY THE ACADIA PARISH SCHOOL SYSTEM
Date: ______________________________
School: _____________________________________________________________
To the Parents of __________________________________________________________
DOB: _______________________
The purpose of this letter is to inform you of the school system’s Individualized Education Program (IEP) Team’s proposal/refusal
(please circle) to:
____ Change your child’s educational placement
____ Change your child’s school exit option
____ Change your child’s special education support service
____ Change your child’s assessment decision
____ Change your child’s special education related service
____ Other: ______________________________________________
The IEP team proposes/refuses (please circle) to take this action is because ____________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
The IEP team considered the following options in making this decision:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
The following information was used in making this decision:
____ IEP
____ Evaluation
____ Student Performance
____ Teacher information/observation
____ Student Behavior
____ Parent Information
____ Medical Information
____ Other:_________________________________________________________________________________________________
Describe:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Parents of a child with an exceptionality have protection under the procedural safeguards of the Individuals with Disabilities
Education Act (IDEA) and Bulletin 1706: Regulations for the Implementation of the Children with Exceptionalities Act,
Subparts A and B. These procedural safeguards are found in Louisiana’s Educational Rights of Children with Exceptionalities
in Public Schools or in Louisiana’s Educational Rights of Gifted and Talented Children in Public Schools. You should have
received a copy of the appropriate handbook, but you may request an additional copy from your child’s teacher.
Should you want additional assistance, you may contact the agencies identified below for assistance in understanding your rights in
this matter: State Department of Education, Special Populations (1-877-453-2721; Families Helping Families of Acadiana (337-
984-3458 or 1-800-378-9854); Advocacy Center of the Elderly and Disabled (337-237-7380). (Please note that this is not an
inclusive list, as there may be other agencies that could also provide assistance.
You may also contact the Supervisor of Special Populations of Acadia Parish School Board at (337-783-3668).
Sincerely,
_______________________________________________, Name
_______________________________________________, Title
Provide Copies To: Special Education Office
School
Parent
Revised 8/05 – proposedaction.vjm