SAN BENITO COUNTY
SPECIAL EDUCATION LOCAL PLAN AREA (SELPA)
CASE MANAGEMENT HANDBOOK (Revised 7/04)
Table of Contents

Go to Section I

Initial Assessment and Development of IEP          I-1
   Assessment Plan      I-1
   Notice of IEP Meeting          I-1
   Individual Education Plan     I-1
Implementation of IEP          I-2
   Interim Placements/Transfers          I-2
   IEP Reviews I-2
   Review of IEP: General Population I-2
   Review of IEP: ED Students in Residential Settings        I-2
   Review of IEP: Preschool Students            I-2
Parent Request         I-3
Triennial Assessment and Development of New IEP       I-3
   Continuing Eligibility Assessment Plan      I-3
   Notice of Continuing Eligibility         I-3
   Notice of IEP Meeting          I-4
Transition       I-4
Request for Records            I-4
Due Process I-5
   Investigation / Mediation Conference          I-5
   Request for Due Process / Hearing Scheduled   I-5
   Attorney Representation      I-5
   Notification of Issues            I-6
   Copy of Documents  I-6
   Appeal            I-6
50 Day Calendar       I-7
Case Management Checklist  PDF Format    1-9

Go to Section II

Child Find      II-1
Pre-Referral Activities          II-2
Sources of Referrals II-3
All Referrals   II-3
   Notice of Referral/Proposed Action            II-4
Initial Referrals to Special Education Flow Chart  II-5

Go to Section III

Procedures for Requesting Specialist Assistance           III-1
Types of Specialists (District/Regional)     III-2
Specialist Through Independent Contracts            III-2

Go to Section IV

General Assessment Procedures   IV-1
Triennial Assessment           IV-2
    Determination of Need for Complete Triennial Assessment       IV-2
    Continuing Eligibility Assessment Plan      IV-3
    Notice of Continuing Eligibility         IV-3
Other Assessments  IV-3
Required Components of the Assessment Report           IV-4
Required IEP Team Meetings         IV-5
Members of the IEP Team   IV-5
Additional Members of the IEP Team        IV-6
Responsibilities of the IEP Team    IV-6
Parent Participation in IEP Team Meetings          IV-7
Holding an IEP Team Meeting Without Parent Attendance         IV-7
Notification of Procedural Safeguards       IV-8
Required Components of the IEP   IV-8
Deaf and Hard of Hearing Students           IV-11
Blind and Visually Impaired Students         IV-12
Initial and Triennial Assessments Flow Chart        IV-13
Sample Assessment Instruments-School Psychologist        IV-14
Sample Assessment Instruments-LH/Resource Specialist              IV-15
Sample Assessment Instruments-Language Speech & Hearing          IV-16
Continuum of Services                                                                                IV-18
Accommodations/Modifications for Classroom or
   Standardized Testing                                                                             IV-19

Click forms below for PDF versions

Eligibility Criteria for Autism  PDF                                   V-1
Eligibility Criteria for Deaf  PDF                                     V-2
Eligibility Criteria for Deaf-Blindness PDF                              V-3
Eligibility Criteria for Emotional Disability PDF                       V-4
Eligibility Criteria for Hearing Impairment PDF                        V-6
Eligibility Criteria for Infant/Toddler PDF                                     V-7
Eligibility Criteria for Specific Learning Disability  PDF                    V-8
Eligibility Criteria for Language or Speech Disorder PDF                V-9
Eligibility Criteria for Multiple Disabilities PDF                             V-11
Eligibility Criteria for Mental Retardation PDF                             V-12
Eligibility Criteria for Other Health Impairment PDF                            V-13
Eligibility Criteria for Severe Orthopedic Impairment PDF                 V-14
Eligibility Criteria for Traumatic Brain Injury  PDF                        V-15
Eligibility Criteria for Visual Impairment PDF                                   V-16

Go to Section VI

Transfer Students From Districts Outside the SELPA     VI-1
Transfer Students with Mental Health Services        VI-1
Interim Administrative / Transfer Placement Flow Chart    VI-2

Go to Section VII

Required IEP Team Meetings/ Members of the IEP Team          VII-1
Additional Members of the IEP Team/ Responsibilities   VII-2
Parent Participation in IEP Team Meetings          VII-3
Holding an IEP Team Meeting Without Parent Attendance         VII-3
Required Components of the IEP   VII-4
Deaf and Hard-of-Hearing/ Blind or Visually Impaired Students VII-7
Annual Reviews Flow Chart                                VII-8
Continuum of Services                   VII-9

Go to Section VIII

Organization of the IEP Meeting     VIII-1
Conducting an IEP Meeting VIII-2
    Organization/ Sharing Information   VIII-3
    Concluding the Meeting       VIII-4
IEP Meeting Agenda            VIII-5
Procedures for Parent Notification and Participation       VIII-6

Confidentiality            IX-1

Go to Section X

Appointment of Surrogate Parent   X-1
Selection of Surrogate Parent         X-1
Role of the Surrogate Parent           X-2
Educational Representative            X-2

Go to Section XI

Transition Services (For Students 14 and Older)  XI-1
Other Transition Services    XI-2
Transition from School to Life          XI-3
Best Practices           XI-4
Transition Checklist  XI-6
Transition Process Chart     XI-7
Student Transition Questionnaire    XI-8

Go to Section XII

Procedures for Submitting Paperwork       XII-1
IEP/Student Records Checklist       XII-2
ISP/Student Records Checklist       XII-4
Missing Document Form      XII-6

Go to Section XIII

Student Eligibility      XIII-1
Purchasing Specialized Books, Materials and Equipment          XIII-1
Misuse of Funds        XIII-2
Coordinating the Use of Specialized Books, Materials and Equipment   XIII-3

Go to Section XIV

Due Process and Compliance Complaint Procedures    XIV-1
    Parent Information     XIV-1
    Due Process versus Compliance Complaint        XIV-1
    Due Process Hearings         XIV-1
Compliance Complaint        XIV-3
Civil Rights Issues     XIV-3
Questions and Answers on Due Process Hearings         XIV-5

Go to Section XV

Child Find      XV-1
Pre-Referral Activities          XV-2
Sources of Referrals XV-3
All Referrals   XV-3
    Notice of Referral/Proposed Action            XV-3
General Assessment Procedures   XV-4
Required Components of the Assessment Report           XV-4
Required Members of the IEP Team          XV-4
Additional Members of the IEP Team        XV-5
Responsibilities of the IEP Team    XV-5
Parent Participation in IEP Team Meetings          XV-6
Holding an IEP Team Meeting Without Parent Attendance         XV-6
Development of IEP or ISP  XV-7
Triennial Assessment           XV-7
    Determination of Need for Complete Triennial Assessment       XV-7
    Continuing Eligibility Assessment Plan      XV-8
    Notice of Continuing Eligibility         XV-8

SELPA FORMS

Form Description	Form Name	Print Only	Electronic/Print
Initial Referral for Individual Assessment	SELPA 1
Classroom Intervention Log Pages 1 & 2 (Not NCR)	SELPA 2
Log of Access (Not NCR)	SELPA 3
Log of Contacts	SELPA 4
Log of Contacts Notes	SELPA 4A
IEP Request for Timeline Extension	SELPA 5
Timeline Extension Sp. doc	SELPA 5-S
Referral for Prevention/Intervention	SELPA 6A
Referral for Mental Health Services	SELPA 6B
Notice of Referral & Proposed Action	SELPA 7A
Notice of Referral & Proposed Action-Spanish	SELPA 7A-S
Assessment Plan	SELPA 7B
Assessment Plan -Spanish	SELPA 7B-S
Parent Input	SELPA 7B-1
Parent Input Spanish	SELPA 7B-1-S
Denial of Assessment	SELPA 7C
Denial of Assessment-Spanish	SELPA 7C-S
Parent Rights-bk to bk Eng./Span.(Not NCR)	SELPA 8
Parent Rights- bk to bk Eng./Span. (Not NCR)	SELPA 8-S
Parent Request/Release Information	SELPA 9
Parent Request/Release Information Spanish	SELPA 9-S
Notice of IEP Team Meeting	SELPA 10
Notice of IEP Team Meeting-Spanish	SELPA 10-S
IEP Demographics & Eligibility	SELPA 11A
IEP Ethnicity/Languages - back of 11A	SELPA 11A/R
IEP Demographics/Eligibility - Spanish	SELPA 11A-S
IEP Ethnicity - back of 11A-S	SELPA 11A-S/R
IEP Present Level/Goals/Obj./Prog. Rpt.	SELPA 11B(NSH)
IEP Present Level Directions -- back of 11B	SELPA 11B/R
IEP Present Level/Goals/Obj./Prog. Rpt.-Span	SELPA 11B-S
IEP Examples -- back of 11B-1-Spanish	SELPA 11B-S/R
IEP Present Level/Goals/Obj./Prog. Rpt.	SELPA 11B(SH2)
IEP Present Level/Goals/Obj./Prog. Rpt.	SELPA 11B-S(SH2)
IEP Present Level of Performance/Goals and Objectives/Progress Report	SELPA 11B(SH3)
IEP Placement and Services	SELPA 11C
IEP Services/Supplemental Info. bk of 11C	SELPA 11C/R
IEP Modifications/Supports/Assessments-Spanish	SELPA 11C-S
IEP Services/Supplemental Info.-bk of 11C-S-Spanish	SELPA 11C-S/R
IEP Supplementary Supp./Promo. & Assmnt.	SELPA 11D
IEP Services/Supplemental Information	SELPA 11-D/R
IEP Special Education/Related Services-Spanish	SELPA 11D-S
IEP Examples-back of 11D-S-Spanish	SELPA 11D-S/R
IEP Consents/Approvals	SELPA 11E
IEP Consents & Approvals-Spanish	SELPA 11E-S
Progress Report for Students with an IEP	SELPA 11F
Reporte de Progreso para Alumnos con un Programa de Educacion	SELPA 11F-S
IEP Supplemental-Blank Page	SELPA 12A
Programa Educativo Individualizado Pagina Suplemento	SELPA 12A-S
IEP Supplemental-Specialized Instruction	SELPA 12B
IEP Specialized Instruction-Spanish	SELPA 12B-S
IEP Supplemental-Manifestation Determination	SELPA 12C
IEP Manifestation Determination-Spanish	SELPA 12C-S
Individualized Education Program Post-Secondary Transition Services	SELPA 12 D 1
Individualized Education Program Post-Secondary Transition Plan Transition Activities	SELPA 12 D 2
IEP Transition Plan-Spanish	SELPA 12 D 1-S
IEP Transition Plan (ITP)-Spanish	SELPA 12 D 2-S
IEP Post-Secondary Transition Plan (Reverse Side) Transition Activities	SELPA 12-D-2/R
IEP Transition Plan/Transition Activities	SELPA 12D-3
IEP Transition Plan-(ITP)-Spanish	SELPA 12D-3-S
IEP Post Secondary Transition Plan	SELPA 12D-4
IEP Special to General Ed. Transition Plan	SELPA 12E
IEP Special to General Ed.-Spanish	SELPA 12E-S
IEP Preschool to Kinder. Transition Plan	SELPA 12F
IEP Preschool to Kindergarten-Spanish	SELPA 12F-S
IEP Retention Considerations & Recommend.	SELPA 12G
IEP Retention Consider & Recom.-Spanish	SELPA 12G-S
IEP Special Education Transportation	SELPA 12H
IEP Interim Behavior Intervention Plan	SELPA 12I
IEP Behavior Intervention Plan	SELPA 12J-1
IEP Behavior Intervention Plan	SELPA 12J-2
IEP Behavior Intervention Plan	SELPA 12J-3
IEP Behavior Intervention Plan	SELPA 12J-4
IEP Determination of Need for a Functional Analysis Assessment/or Escalation Plan	SELPA 12K
IEP Escalation Cycle Management Plan	SELPA 12M