The forms on this page guide educators and families through the IEP process, the General Supervision and Monitoring System processes and Proficiency-Based Graduation Requirements (PBGR). You will also find an Adverse Effect Chart, a Communication Plan for Students who are Deaf, Hard of Hearing, and DeafBlind, and a Technical Assistance / Professional Development Request form to request support from the AOE in an area of need.
IEP Process and Evaluation Forms
Programs that opt to use these special education forms will be evaluating children age three through 21 years of age to determine their eligibility for special education services. Users will also use the individualized education program (IEP) form to develop a document of appropriate services, if the child is eligible.
Form #1: Notice of Meeting
Form #2: Special Education Evaluation Plan and Report
Form #2: Special Education Evaluation Plan and Report (Effective July 1, 2023)
Form #3: Prior Written Notice for Special Education Evaluation
Form #3a: Consent for A Special Education Evaluation
Form #4: Notice of Initial Evaluation Delay
Form #5: Individualized Education Program (IEP)
Form #5: Early Childhood Special Education (ECSE) Ages Three Through Five - Individualized Education
Form #5a: Written Agreement for Not Attending an IEP Meeting
Form #5b: Agreement to Revise the IEP Between Annual Review Meetings
Form #5c: Revision of the IEP Between Annual Review Meetings
Form #6: Consent for Initial Provision of Special Education Services
Form #6a: Revocation of Consent for Provision of Special Education Services
Form #6b: IDEA Part C to Part B Transition
Form #7: Notice of Local Educational Agency Decision
Form #8: Written Agreement Between Parents and District - Re-evaluations
Form #9: Completion of an Evaluation of A Transfer Student
Form #10: Parentally-Placed Students in Non-public Schools (including Home Study) and Proportionate Share Requirements
Form #11: Documentation of Attempts to Seek Parent/Guardian Participation
Form #12: Parental Input Page
Individualized Education Program Post-Secondary Transition Plan Template (Fillable Form)
This is Vermont’s new post-secondary transition plan template of the IEP. This template has embedded technical assistance to improve Indicator 13 documentation.
Summary of Performance Exit Report
This template represents a baseline for the required fields within a Summary of Performance document.
General Supervision and Monitoring Forms
Professional Development/Technical Assistance Request Form
Request Professional Development/Technical Assistance from the Agency of Vermont's Special Education Team.
Graduation/Proficiency-Based Graduation Requirement Forms
Proficiency-Based Graduation Requirements (PBGR) – Access Plan
Proficiency-Based Graduation Requirements (PBGR) – Access Plan (Blank Template)
Vermont Communication Plan for Students who are Deaf, Hard of Hearing or DeafBlind
The Vermont Communication Plan for Students who are Deaf, Hard of Hearing or Deafblind is optional, recommended for any child identified as deaf, hard of hearing, or deafblind.