"Parental Consent for Placement" - Georgia (United States)

Parental Consent for Placement is a legal document that was released by the Georgia Department of Education - a government authority operating within Georgia (United States).

Form Details:

  • Released on July 1, 2007;
  • The latest edition currently provided by the Georgia Department of Education;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Georgia Department of Education.

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Download "Parental Consent for Placement" - Georgia (United States)

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[LOCAL SCHOOL SYSTEM INFORMATION]
Parental Consent for Placement
________________________
(Date)
Dear Parent of____________________________________,
The Individualized Education Program (IEP)/Team met on _______________ and has
recommended that the child, ____________________________ , participate in the special
education and related services program(s). An Individualized Education Program (IEP) will be
developed to meet his/her individual educational needs annually.
___________Yes, I do agree with this placement to receive special education and related
services.
___________ No, I do not agree with this placement for the following reasons:
____________________________________
___________________________
Parent Signature
Date
A copy of parent rights may be provided upon request.
Georgia Department of Education
Model Form July 2007
[LOCAL SCHOOL SYSTEM INFORMATION]
Parental Consent for Placement
________________________
(Date)
Dear Parent of____________________________________,
The Individualized Education Program (IEP)/Team met on _______________ and has
recommended that the child, ____________________________ , participate in the special
education and related services program(s). An Individualized Education Program (IEP) will be
developed to meet his/her individual educational needs annually.
___________Yes, I do agree with this placement to receive special education and related
services.
___________ No, I do not agree with this placement for the following reasons:
____________________________________
___________________________
Parent Signature
Date
A copy of parent rights may be provided upon request.
Georgia Department of Education
Model Form July 2007