Form Fm-7428 - Special Education And Related Services Required For Students With Disabilities Suspended Over 10 Days In A School Year
Download a blank fillable Form Fm-7428 - Special Education And Related Services Required For Students With Disabilities Suspended Over 10 Days In A School Year in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Fm-7428 - Special Education And Related Services Required For Students With Disabilities Suspended Over 10 Days In A School Year with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Clear Form
SPECIAL EDUCATION AND RELATED SERVICES REQUIRED FOR STUDENTS WITH DISABILITIES
SUSPENDED OVER 10 DAYS IN A SCHOOL YEAR
Student:______________________________ Suspended (date/s)____________________________
Assigned Teachers/Therapists:___________________________________________________________
The following information must be completed by all teachers and therapists assigned to this student. Return
required work assignments to (designated LEA administrator) ______________________________________ by
________________________________________.
Impact of Suspension on Curriculum Mastery or IEP Goal Mastery
This suspension will result in adverse effects on mastery of content material or the mastery of IEP goals by the
end of the grading period.
_____yes
_____no
During this suspension, the student will miss (check all that applies):
_____study for test _____collaborative project work _____independent work _____test or quiz
_____new concept introduction _____class discussion _____other (please specify)_______________________
Work to be Completed during Suspension
During this suspension, there are assignments to be completed to ameliorate the adverse effects of this absence
from school.
_____yes
_____no
Assignments to be completed during suspension:
___________________________________________________________________________________________
Make‐Up to be Completed upon Return
Action plan for completion of class work or make up for any missing activity listed above which will not be
possible to complete during the suspension days.
___________________________________________________________________________________________
Related Services Required to Progress in the General Education Curriculum and/or Progress toward Meeting
IEP Goals during Suspension
_____Counseling _____Speech/Language _____OT/PT _____Other
Date/Time Scheduled: ____________
Teacher/Therapist Signature_________________________________Class/Period:________Date:___________
Assignments Attached_____
No Work is Necessary_____
State and federal law requires that students with disabilities who have been suspended 10 days or more in a
school year are given the opportunity to progress in the general education curriculum and progress toward
meeting their IEP goals. Each teacher must determine the extent of special education and related services
necessary to meet this requirement.
FM-7428 (09-10)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Fm-7429 - Special Education Amd Related Services Required For Students With Disabilities Assigned To Indoor Suspension (scsi)
Education
Form Preschool Stac-1 - Request For Commissioner's Approval Of Reimbursement For Services For Students With Disabilities - The University Of The State Of New York, The State Education Department
Business
Form Cert-143 - Sales And Use Tax Exemption For Purchases Of Vessels Docked In Connecticut For 60 Or Fewer Days In A Calendar Year
Financial
Form 1120 - Schedule M-3 - Net Income (loss) Reconciliation For Corporations With Total Assets Of 10 Million Or More - 2014
Financial
Form 341 - Arizona Credit For Corporate Contributions To School Tuition Organizations For Displaced Students Or Students With Disabilities - 2014
Financial
Form Che-400 - Students With Disabilities Tuition Tax Credit Verification - South Carolina Commission On Higher Education
Financial
Related Categories
Parent category: Education