"Team Meeting Request Form - Facilitated Individualized Education Program (Fiep)" - Georgia (United States)

Team Meeting Request Form - Facilitated Individualized Education Program (Fiep) is a legal document that was released by the Georgia Department of Education - a government authority operating within Georgia (United States).

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Facilitated Individualized Education Program (FIEP)
Team Meeting Request Form
“A Collaborative Dispute Prevention and Resolution Option”
Richard Woods,
Georgia’s School Superintendent
“Educating Georgia’s Future”
Georgia Department of Education
*Complete and submit one (1) signed
:
Parents
Division for Special Education Services and Supports
copy of this form to the Special
205 Jesse Hill Jr. Drive, SE
Education Director in your child’s school
1870 Twin Towers East
district. You may wish to retain a copy for
Atlanta, Georgia 30334
your records.
eFax: 770-344-4458
Email: SPEDhelpdesk@doe.k12.ga.us
*Submit the signed FIEP Team Meeting
Special Education
Attention: FIEP Request
Request Form and a copy of the fully
Director:
executed IEP Team meeting notice to:
*Electronic submissions are strongly encouraged*
Instructions
1. Either a parent or school district may initiate the facilitated IEP Team meeting process. The
school district will submit the completed form by emailing, faxing, or mailing the signed form to
the Georgia Department of Education (GaDOE), Division for Special Education Services
and Supports, 205 Jesse Hill Jr. Drive, SE, 1870 Twin Towers East, Atlanta, Georgia
30334, eFax (770) 344-4458 or email SPEDhelpdesk@doe.k12.ga.us Attention: FIEP
Request. Both the parent and school district may jointly complete one form.
2. Parties should contact the GaDOE at least 7-10 days prior to the IEP Team meeting. Both
parties must agree to the facilitated IEP Team meeting in order for the process to take place.
3. Once a completed request form and IEP Team meeting notice is provided, the GaDOE
Family Engagement and Dispute Resolution Team will assign a facilitator for the IEP Team
meeting from a list of trained professionals and keep the parties notified about the progress of
the request.
We understand the following:
1. We are requesting that the GaDOE Family Engagement and Dispute Resolution Team assign an IEP Team Meeting
Facilitator.
2. We understand that the GaDOE provides a facilitator at no cost to parents or school districts.
3. We understand that the signing of this request gives the facilitator access to student records during the facilitation
process.
4. We understand that the facilitator is not a member of the IEP Team.
5. We understand that the facilitator cannot provide legal or financial advice to any participant.
6. We understand that participation in this process is voluntary and does not prevent the participants from utilizing the
IDEA dispute resolution options (i.e., formal complaint, mediation, and due process hearing).
7. We understand that, by completing the evaluation form at the conclusion of the facilitated IEP Team meeting, we are
supporting the continuous improvement of the FIEP Team meeting processes and procedures.
Georgia Department of Education
Division for Special Education Services and Supports
1870 Twin Towers East
@georgiadeptofed
205 Jesse Hill Jr. Dr. SE
Atlanta, GA 30334
www.gadoe.org
Facilitated Individualized Education Program (FIEP)
Team Meeting Request Form
“A Collaborative Dispute Prevention and Resolution Option”
Richard Woods,
Georgia’s School Superintendent
“Educating Georgia’s Future”
Georgia Department of Education
*Complete and submit one (1) signed
:
Parents
Division for Special Education Services and Supports
copy of this form to the Special
205 Jesse Hill Jr. Drive, SE
Education Director in your child’s school
1870 Twin Towers East
district. You may wish to retain a copy for
Atlanta, Georgia 30334
your records.
eFax: 770-344-4458
Email: SPEDhelpdesk@doe.k12.ga.us
*Submit the signed FIEP Team Meeting
Special Education
Attention: FIEP Request
Request Form and a copy of the fully
Director:
executed IEP Team meeting notice to:
*Electronic submissions are strongly encouraged*
Instructions
1. Either a parent or school district may initiate the facilitated IEP Team meeting process. The
school district will submit the completed form by emailing, faxing, or mailing the signed form to
the Georgia Department of Education (GaDOE), Division for Special Education Services
and Supports, 205 Jesse Hill Jr. Drive, SE, 1870 Twin Towers East, Atlanta, Georgia
30334, eFax (770) 344-4458 or email SPEDhelpdesk@doe.k12.ga.us Attention: FIEP
Request. Both the parent and school district may jointly complete one form.
2. Parties should contact the GaDOE at least 7-10 days prior to the IEP Team meeting. Both
parties must agree to the facilitated IEP Team meeting in order for the process to take place.
3. Once a completed request form and IEP Team meeting notice is provided, the GaDOE
Family Engagement and Dispute Resolution Team will assign a facilitator for the IEP Team
meeting from a list of trained professionals and keep the parties notified about the progress of
the request.
We understand the following:
1. We are requesting that the GaDOE Family Engagement and Dispute Resolution Team assign an IEP Team Meeting
Facilitator.
2. We understand that the GaDOE provides a facilitator at no cost to parents or school districts.
3. We understand that the signing of this request gives the facilitator access to student records during the facilitation
process.
4. We understand that the facilitator is not a member of the IEP Team.
5. We understand that the facilitator cannot provide legal or financial advice to any participant.
6. We understand that participation in this process is voluntary and does not prevent the participants from utilizing the
IDEA dispute resolution options (i.e., formal complaint, mediation, and due process hearing).
7. We understand that, by completing the evaluation form at the conclusion of the facilitated IEP Team meeting, we are
supporting the continuous improvement of the FIEP Team meeting processes and procedures.
Georgia Department of Education
Division for Special Education Services and Supports
1870 Twin Towers East
@georgiadeptofed
205 Jesse Hill Jr. Dr. SE
Atlanta, GA 30334
www.gadoe.org
Facilitated Individualized Education Program (FIEP)
Team Meeting Request Form
“A Collaborative Dispute Prevention and Resolution Option”
Richard Woods,
Georgia’s School Superintendent
“Educating Georgia’s Future”
Name of Student
Grade of Student
Date of Birth
Name of State School
Name of Home School District
Name of State Schools Assistant Director
Name of Parent/Guardian
Ms. Jan E. Stevenson
Address
Address
Suite 1566B Twin Towers East
205 Jesse Hill Jr. Drive, S.E.
City
State
Zip
City
State
Zip
Atlanta
GA
30334
Contact
Work
Cell
Home
Work
Cell
Numbers
404-232-1503
678-885-0478
Email
Email
jstevenson@doe.k12.ga.us
Who initiated this Facilitated IEP Team meeting request?
☐ Parent
☐ School District
An IEP Team meeting is currently scheduled for:
Date
Time
Location
Purpose
Required Signatures: We understand that a Facilitated IEP Team meeting is a voluntary alternative dispute
resolution option. We understand and agree to the seven (7) items listed on page one of this request form.
Signature of Parent/Guardian
Date Signed
Signature of Special Education Director
Date Signed
Signature of State Schools Director
Date Signed
Submit the signed FIEP Team Meeting Request Form and copy of the fully executed IEP Team meeting notice to:
Division for Special Education Services and Supports
205 Jesse Hill Jr. Drive, SE, 1870 Twin Towers East
Atlanta, Georgia 30334
eFax: 770-344-4458 or Email: spedhelpdesk@doe.k12.ga.us
Attention: FIEP Request
*Electronic submissions are strongly encouraged*
For questions, contact the Special Education Help Desk at (404) 657-9968 or spedhelpdesk@doe.k12.ga.us
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