Idr Form A - Request For Informal Dispute Resolution (Idr) Regarding Individualized Education Program (Iep) Issues Page 2
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2REF-1410.3
Attachment B-2
October 23, 2006
LOS ANGELES UNIFIED SCHOOL DISTRICT
Division of Special Education
Informal Dispute Resolution Activity
IDR Form B
Student Name: ___________________________________________________________ DOB ______________________________
PARENT REQUESTS
PARENT RATIONALE
1
2
3
4
DISTRICT SETTLEMENT OFFER:
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
District Rationale
or
Parent Accepts Offer
Parent Rejects Offer
A. ACCEPTED __________
Date Accepted ________________
B. REJECTED ____________
Date Rejected ________________
1. Implementation IEP team meeting required:
YES
NO
1. Form B Faxed to (213) 241-8917 ________________________
(
Date and Time)
2. Date of implementation IEP team meeting ____________________
(Date)
2. Procedural Safeguards/Parent Rights Explained:
YES
NO
3. Form B Faxed to (213) 241-8917 on ________________________
To the Division of Special Education for Informal Conference
(
Date)
Parents will initiate due process proceedings
______________________________________
_________________________________________
_________________
Print District Representative’s Name
Signature
Date
______________________________________
_________________________________________
_________________
Print Parent’s Name
Parent Signature
Date
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