Elementary Schooltransfer Compliance

9/20/13

Elementary SchoolTransfer Compliance

Name______Student #______Date_____

DOB______Exceptionalities______Re-eval Due______

Please use this checklist to guide you through the meeting. Please sign below to verify information is correct and completed. Return to guidance secretary.

Thank you in advance!

1. __#710 Proc Safeguard Review form if completing Annual TIEP OR #774 Proc Safeguard Book for Out of StateOSSTransfers given to parent.

2. __#762 Invite complete all sections & obtain parent signature & excusal if applicable

3. __#707 Transfer was issued, signed by parent if in attendance, or mailed home.

4. __Prior to implementation, T/IEP team agreed to (choose one option)

_____Adopt T/ IEP

_____Revise the existing T/IEP Use Pasco Signature Pg

_____Draft Pasco T/ IEP.

5. ___#797 when significant changes are made to level of intensity/service LRE.

6. ___ Required signatures on Pasco Sig pg, ESE, LEA, Parent, Basic

7. ___Input Forms attached Parent & Basic Ed Teacher

8. ___If Transportation needed Fax #768, TIEP cover pg, & Sig pg to Lisa @ #40496. 9. ___Complete new schedule OR change of schedule form

10. ___Complete #729 Data Entry Form

11. ___Matrix complete for 254 & 255

12. ___Complete Re-eval paperwork for In State Transfers only if applicable

#762, # 809, & #444 if evaluation is recommended on 809.

13.___Complete Accessibility Log with Basic Ed Teachers

Students transferred into one of the following categories: OHI, OI, TBI, H/HB & VI

MUST be issued Medical OOS Letter MUST have a Medical #818 from a FL doctorfor continued eligibility.

OT/PT services require an evaluation from a FL certified therapist before services can begin. Issue OSS Medical letter and obtain signature from parent. Schedule an ISS to obtain Consent #425.

ALL Out of State Transfers will be brought up to In School Staffing 4-6 weeks.

______

Signature of ESE TeacherDateCompliance Review