CDE IEP Procedural Manual - NW Colorado BOCES

IEP Team Member Excusal:
This form is used to:
√ Document parent and district agreement that specific members of the IEP Team are not required to attend a
specific IEP meeting, in whole or in part, because the member’s area of curriculum or related service is not being
modified or discussed at the meeting, as permitted by IDEA 2004.
√ Document parent and district informed consent to excuse the specific member(s) of the IEP Team from attending
an IEP meeting, in whole or in part, when the meeting involves a modification to or discussion of the member’s area
of curriculum or related service if the member submits input in writing to the parent and other members of the IEP
Team input into the IEP before the meeting, as permitted by IDEA 2004.
Directions:
1.) Enter the Name, Date of Birth, SASID and month, day, and year the form is completed in the header.
2.) Explain to parent that agreement for excusal is voluntary.
3.) Indicate IEP Team member to be excused, the area curriculum/related service that person is responsible for and
the phone number.
4.) Indicate whether that person’s area of curriculum/related service is likely to be discussed.
5.) Skip to Step 7 IF the person’s area of curriculum/related service is not likely to be discussed.
6.) IF the person’s area of curriculum/related service is likely to be discussed, the person requesting excusal should
complete the sections identifying the student’s strengths, educational concerns, present levels of academic
achievement and functional performance, areas of student need, and accommodations, modifications and
specialized instruction.
7.) Acquire the signature of the Special Education Director or Designee indicating approval of the excusal.
8.) Acquire the signature of the parent/guardian/ESP indicating approval of the excusal.
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