Form 8 "Written Agreement Between Parents and District - Re-evaluations" - Vermont

What Is Form 8?

This is a legal form that was released by the Vermont Agency of Education - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2013;
  • The latest edition provided by the Vermont Agency of Education;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 8 by clicking the link below or browse more documents and templates provided by the Vermont Agency of Education.

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Download Form 8 "Written Agreement Between Parents and District - Re-evaluations" - Vermont

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Form 8 - Written Agreement Between Parents and District – Re-evaluations
School District______________________________________ Case Manager___________________________
Student Name ____________________ Date of Birth: ____/____/_____ Child Count ID # _____________
The authorized School District staff has explained to the Parent that he or she is not required to enter into
this agreement. Your child’s special education services will not be affected by entering into this agreement.
_____/_____/_____
_______________________________________________________________________
Date
Authorized District Staff Name – Title
________________________________________________________________________
School Name
THREE YEAR RE-EVALUATION
The School District and the Parent have agreed that the School District will not conduct the three-year re-
evaluation
that is currently due on:
_____/_____/_____.
Date
The reason(s) for this decision is (are):
_______________________________________________________________________
_____/_____/_____
Date
Authorized District Staff Signature
_____/_____/_____
________________________________________________________________________
Date
Parent/Guardian/Surrogate/Adult Student Signature
(The date of the parent signature will be considered the date from which the next triennial will be due.)
Note: Prior Written Notice about Evaluation/Consent for Evaluation is not required.
Form 8 - Written Agreement Between Parents and
Page 1 of 1
District – Re-evaluations
(Revised: January 1, 2013)
Form 8 - Written Agreement Between Parents and District – Re-evaluations
School District______________________________________ Case Manager___________________________
Student Name ____________________ Date of Birth: ____/____/_____ Child Count ID # _____________
The authorized School District staff has explained to the Parent that he or she is not required to enter into
this agreement. Your child’s special education services will not be affected by entering into this agreement.
_____/_____/_____
_______________________________________________________________________
Date
Authorized District Staff Name – Title
________________________________________________________________________
School Name
THREE YEAR RE-EVALUATION
The School District and the Parent have agreed that the School District will not conduct the three-year re-
evaluation
that is currently due on:
_____/_____/_____.
Date
The reason(s) for this decision is (are):
_______________________________________________________________________
_____/_____/_____
Date
Authorized District Staff Signature
_____/_____/_____
________________________________________________________________________
Date
Parent/Guardian/Surrogate/Adult Student Signature
(The date of the parent signature will be considered the date from which the next triennial will be due.)
Note: Prior Written Notice about Evaluation/Consent for Evaluation is not required.
Form 8 - Written Agreement Between Parents and
Page 1 of 1
District – Re-evaluations
(Revised: January 1, 2013)