"Re-evaluation Not Needed Agreement Form" - Kansas

Re-evaluation Not Needed Agreement Form is a legal document that was released by the Kansas Department of Education - a government authority operating within Kansas.

Form Details:

  • Released on August 22, 2005;
  • The latest edition currently provided by the Kansas 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 Kansas Department of Education.

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RE-EVALUATION NOT NEEDED
AGREEMENT FORM
USD # _______
Student Name
Date
Parent(s)/decision maker name
Date of last evaluation/re-evaluation
School representative name
School representative position
Special education laws require a re-evaluation of a child with an exceptionality at least
once every three years, unless the school and the parent(s), or other legally authorized
education decision maker, of the student agree that a re-evaluation is unnecessary.
The above named parent(s)/decision maker and school representative agree that a re-
evaluation for the above named student is not necessary at this time, and therefore no
re-evaluation will be conducted. Both parties understand that a re-evaluation may be
requested by either party at any time in the future.
_____________________________________________________
____________
Signature of parent/Legal Decision Maker/Student if age 18 or more
Date
_____________________________________________________
_____________
Signature of second parent/legal decision maker
Date
_____________________________________________________
_____________
Signature of school representative
Date
Sample Form
Special Education Services
8/22/05
Kansas State Department of Education
RE-EVALUATION NOT NEEDED
AGREEMENT FORM
USD # _______
Student Name
Date
Parent(s)/decision maker name
Date of last evaluation/re-evaluation
School representative name
School representative position
Special education laws require a re-evaluation of a child with an exceptionality at least
once every three years, unless the school and the parent(s), or other legally authorized
education decision maker, of the student agree that a re-evaluation is unnecessary.
The above named parent(s)/decision maker and school representative agree that a re-
evaluation for the above named student is not necessary at this time, and therefore no
re-evaluation will be conducted. Both parties understand that a re-evaluation may be
requested by either party at any time in the future.
_____________________________________________________
____________
Signature of parent/Legal Decision Maker/Student if age 18 or more
Date
_____________________________________________________
_____________
Signature of second parent/legal decision maker
Date
_____________________________________________________
_____________
Signature of school representative
Date
Sample Form
Special Education Services
8/22/05
Kansas State Department of Education