ESE Documents & Forms

 DOCUMENTS

Adaptive PE Guidelines and Screening

DOCUMENTS

Behavior Education Services Team (BEST) Resources & Forms

Manifestation Determination TAP

ILR (In Lieu of Removal) Process

Manifestation Determination Process

Review of Suspension Process

Information for Students with 504 Plans

FORMS

One Time Serious Incident FBA

Review Of Placement Checklist Elementary (Contact Twyla Akkerman)

Review of Placement Checklist Middle School/High School (Contact Twyla Akkerman)

Review of Suspension Checklist (Contact Twyla Akkerman)

DOCUMENTS

Florida Dept. of Education ESE Eligibility Website

FORMS

Autism Spectrum Disorder (ASD) Eligibility Report

Consent for Initial Provision of ESE Services

Consent for Initial Provision of GIFTED Services

Emotional/Behavioral Disability (EBD) Eligibility Checklist page 1 of 2

Emotional/Behavioral Disability (EBD) Eligibility Checklist page 2 of 2

Intellectual Disability (ID) Multi-Disciplinary Team Report 

Other Health Impairment (OHI) Eligibility Report

Parent Refusal of ESE Services for Private School Students

Prekindergarten Language Impairment (LI) Multidisciplinary Report

Specific Learning Disability (SLD) and Language Impairment (LI) Multi-Disciplinary Team Report

Staffing Committee Eligibility Recommendations Form

DOCUMENTS

Procedural Safeguards for Exceptional Students Who Are Gifted -- English

Procedural Safeguards for Exceptional Students Who are  Gifted -- Spanish

FORMS

Document Related to Parental Input and Meetings Form

Gifted Characteristics Rating Scale

General Education Teacher Input Form 

Gifted Plan B Matrix Form

Gifted Screening Matrix Form

DOCUMENTS

Instructions for Physicians Referral

FORMS

Physician Referral

Authorization for Release of Information

DOCUMENTS

FORMS

Document Related to Parental Input and Meetings

Meeting Notice for IEP 

Meeting Notice for SP

Meeting Participants Page for IEP

DOCUMENTS

ECSD ESE Grading Rubric

Informed Notice of Refusal to Take a Specific Action TAP

Matrix TAP

Procedures for Collaboration of Public and Private School Personnel

Procedural Safeguards

Procedural Safeguards (Spanish)

SIS Form TAP

FORMS

AT Request Form

Authorization for Release of Information

Documentation Form

ECATT Equipment Check-Out/Return Form

Hope Horizon (Lakeview) School Referral

Informed Notice of Refusal to Take a Specific Action

Medicaid Parental Consent Form

Request for Collaboration of Public and Private School Personnel Form

SIS Form Fillable 

Out of County SIS form (for use for initial out of county transfer data entry only)

Vision/Hearing Screening Request

DOCUMENTS

RE-Evaluation TAP and Quickstart Guide

FORMS

Informed Consent for Re-evaluation

Re-Evaluation Documentation Form for Program Change

Summary of Re-evaluation Assessments Revised 2023

DOCUMENTS

Pre-Employment Transition Services Flyer

Summary of Performance Form Instructions

FORMS

Consent Mutual Exchange of Information Release Form

Notice of Change in Placement for Students with Disabilities Graduating with a Standard Diploma Form

Transition - Post Secondary Goals Activity Sheet

STAR Program Parent Letter and Referral Application

Summary of Performance Form

Written Input Agency Services Form (Download to fill electronically)

FORMS

SLI

Observation for SLI-Detailed

Observation for SLI-Narrative

PT/OT

OT/PT Screening Form

PT Referral Form

OT or PT Assessment for Transfer Student

Medicaid for SLI/PT/OT

Medicaid Plan of Care

DOCUMENTS

 FORMS

**ESE Transfer Verification Form should be obtained from FOCUS

DOCUMENTS

VI and DHH Procedures

FORMS

Medical Eye Report