Insert District Letterhead

Insert District Letterhead

Date:______

To: District Office Human Resources Department

RE: Assignment Monitoring and Review, [insert Teacher’s Name]

An Individualized Education Plan (IEP) team has determined that this teacher’s classroom program meets the district’s offer of a free appropriate public education (FAPE). As of the December 1 special education pupil count, the above named teacher had students with the following disabilities enrolled in his/her class:

Autism Spectrum Disorder (ASD) / Multiple Disabilities (MD)
Deaf-Blindness (DB) / Other Health Impairment (OHI)
Emotional Disturbance (ED) / Specific Learning Disability (SLD)
Hearing Impairment (HI) / Speech or Language Impairment (SLI)
Intellectual Disability (ID) / Traumatic Brain Injury (TBI)

In accordance with Title V, California Code of Regulations, Section 80046.5 and the California Commission on Teacher Credentials (CTC), Administrator’s Assignment Manual (Section F-1):

An IEP team may determine that, based on assessments and the goals in the IEP, an alternate placement may be appropriate. It is the employing agency’s responsibility to determine how the special education services will be delivered The IEP determines the student’s needs and the rationale for the particular placement of the student. Various alternative placements are sometimes required to the extent necessary to implement the IEP for each child with a disability.

A review of this teacher’s credential(s) and special authorizations indicates he/she does not hold a specialized CTC Authorization to teach students with the above checked disability area(s). However, this should not be considered a credential misassignment given that an IEP team has determined that this special education program is the appropriate setting for the students to receive educational benefit.

Administrator accountable for placement: ______

Title: ______

Date: ______

Contact Number: ______

Should there be any further information required or any questions regarding this matter, please contact me at [insert contact information].

Thank you,

[insert name]

[insert title] Revised 9.05.12