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Special Education Forms

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.

Form #1: Notice of Meeting


Form #2: Special Education Evaluation Plan and Report


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
                   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 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


Vermont Special Education Forms - All forms in Microsoft Word Format


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

Monitoring Tools


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) 


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