Special Education Forms - Eligibility Determination

Published: 4/23/2014 12:49 PM

 

This page contains downloads to special education forms commonly used by local school districts to document eligibility for special education. 

​Included is the Consent to Evaluate/Reevaluate and each of the Eligibility Determination forms specific to the suspected disability. 
 
Revisions to the forms in the SIS occur based on feedback the Division of Learning Services receives from Director’s of Special Education, State Stakeholder Groups, KDE Interpretation of Law, and Legal Decisions.  In addition, the Division of Learning Services, Diverse Learners Branch make revisions to the state mandated forms based on on-site and desk audit monitoring.
 
State approved forms used for special education due process including the Individual Education Program (IEP), referral and others can be found by clicking on this link: Special-Education-Forms-Due-Process.aspx
 
These forms will be included in the state's student information system (SIS) Summer 2011.  The forms below exist in two formats; a Microsoft Word file and an Adobe Acrobat or PDF file.  The Word version is an electronic form that can be downloaded and completed directly from the Word program electronically.  The Adobe Acrobat version is intended to be printed out and completed manually.
The advantage to the Word version is that once completed it can be saved as a file and uploaded to the SIS at the child level.  This option is not available in the Adobe Acrobat version unless the manually completed form is scanned and an electronic file created by that scan.
Nick Easter
Office of Next-Generation Learners
Division of Learning Services
500 Mero Street, 18th Floor CPT
Frankfort, KY 40601
(502) 564-4970
Fax (502) 564-6721