Part B "Prior Written Notice Under Part B of the Idea"

What Is Part B?

This is a legal form that was released by the U.S. Department of Education and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest available edition released by the U.S. Department of Education;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Part B by clicking the link below or browse more documents and templates provided by the U.S. Department of Education.

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Part B
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Under 34 CFR §300.503(a), the school district must give you a written notice
(information received in writing), whenever the school district:
(1) Proposes to begin or change the identification, evaluation, or educational
placement of your child or the provision of a free appropriate public education
(FAPE) to your child; or
(2) Refuses to begin or change the identification, evaluation, or educational
placement of your child or the provision of FAPE to your child.
The required content under 34 CFR §300.503(b) is listed below in this model form. The
school district must provide the notice in understandable language (34 CFR
§300.503(c)).
This model form provides a format that States and/or school districts may choose to
adopt to construct the form that they will use to provide that notice. The school district
will need to insert the required child- and situation-specific information, and must inform
parents, as part of the notice, that they have protection under the procedural safeguards
of Part B of the IDEA.
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IDEA
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 Description of the action that the school district proposes or refuses to take:
 Explanation of why the school district is proposing or refusing to take that
action:
 Description of each evaluation procedure, assessment, record, or report the
school district used in deciding to propose or refuse the action:
 Description of any other choices that the Individualized Education Program
(IEP) Team considered and the reasons why those choices were rejected:
U.S. Department of Education
Model Form: Prior Written Notice
Office of Special Education and Rehabilitative Services,
Office of Special Education Programs
Part B
P
W
N
RIOR
RITTEN
OTICE
Under 34 CFR §300.503(a), the school district must give you a written notice
(information received in writing), whenever the school district:
(1) Proposes to begin or change the identification, evaluation, or educational
placement of your child or the provision of a free appropriate public education
(FAPE) to your child; or
(2) Refuses to begin or change the identification, evaluation, or educational
placement of your child or the provision of FAPE to your child.
The required content under 34 CFR §300.503(b) is listed below in this model form. The
school district must provide the notice in understandable language (34 CFR
§300.503(c)).
This model form provides a format that States and/or school districts may choose to
adopt to construct the form that they will use to provide that notice. The school district
will need to insert the required child- and situation-specific information, and must inform
parents, as part of the notice, that they have protection under the procedural safeguards
of Part B of the IDEA.
P
W
N
U
P
B
IDEA
RIOR
RITTEN
OTICE
NDER
ART
OF THE
 Description of the action that the school district proposes or refuses to take:
 Explanation of why the school district is proposing or refusing to take that
action:
 Description of each evaluation procedure, assessment, record, or report the
school district used in deciding to propose or refuse the action:
 Description of any other choices that the Individualized Education Program
(IEP) Team considered and the reasons why those choices were rejected:
U.S. Department of Education
Model Form: Prior Written Notice
Office of Special Education and Rehabilitative Services,
Office of Special Education Programs
F
:
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N
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ORM
RIOR
RITTEN
OTICE
 Description of other reasons why the school district proposed or refused the
action:
 Resources for the parents to contact for help in understanding Part B of the
IDEA:
 If this notice is not an initial referral for evaluation, how the parent can obtain a
copy of a description of the procedural safeguards:
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