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 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.
IEP process and evaluation forms assist educators in all parts of the special education evaluation process. Each form is accompanied by instructions. They include:
- Forms of NOTICE (1, 3, 4, 7, & 7a)
- Forms CONSENT / AGREEMENT (3a, 5a, 5b, 6, 6a and 8)
- Forms for WRITING and REVISING the IEP (5, & 5c)
- Forms for EVALUATION (2 & 9)
- A form for PARENTALLY PLACED students (10)
- A form for TRANSITION from Preschool to K-12 (6b)
Form 1: Notice of Meeting
Form 2: Evaluation Plan and Report
Form 3: Notice of A Special Education Evaluation
Form 3a: Consent for A Special Education Evaluation
Form 4: Notice of An Evaluation Delay
Form 5: Individualized Education Program (IEP)
Form 5: Early Childhood Special Education (ECSE) Ages Three Through Five - Individualized Education
Program (IEP)
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
Form 6a: Revocation of Consent for Provision of Special Education Services
Form 6b: Part C to Part B Transition (Consent for Initial Provision of Special Education)
Form 7: Notice of Local Educational Agency Refusal
Form 7a: Prior Written Notice of Decision
Instructions to Form 7a - Notice of Local Education Agency Decision
(Prior Written Notice of Decision)
Form 8: Written Agreement Between Parents and District Re-evaluations
Form 9: Completion of An Evaluation of A Transfer Student
Proportionate Share Requirements 2021
- Form 10 - Written Affirmation Statement (Fillable form)
- Form 10a - Services Plan (Fillable form)
- Form 10b - LEA Certification for IDEA Prop Share (Fillable form)
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)
