IEP & Related Forms

​​​​​​​​​​​​​​​​This page contains​ model forms adopted by Oakland Schools.  All forms are PDF print ready. Special education administrators may request an editable version of these forms by contacting the Oakland Schools Compliance U​nit.  ​

​All forms have been updated for the 2016-2017 school year and are available upon request.

​​​Individualized Education Program (IEP) 

Individualized Education Program (IEP)

Annual Goal & Objectives/Benchmarks

Secondary Transition​     

Summary of Performance Oakland

Consent to Invite Agency Representative​

Extended School Year

IEP Amendment 

IEP Checklist

Notice for Initial Provision of Services and Programs ​

Notice for Provision of Services and Programs IEP

Notice for Provision of Programs and Services IEP Amendment

Revocation of Parental Consent for Special Education Programs and Services: MDE-OSE Model Form

Notice for Provision of Programs & Services - Previously Enrolled Eligible Student

​Multidisciplinary Ev​aluation Team (MET) Summary Forms ​Other Forms

Autism Spectrum Disorder (ASD) MET Summary

Cognitive Impairment (CI) MET

Deaf-Blind (DB) MET

Early Childhood Developmental Delay (ECDD) MET

Emotional Impairment (EI) MET 

Hearing Impairment (HI) MET 

Other Health Impairment (OHI)

Physical Impairment (PI)

Specific Learning Disability (SLD) MET (PSW and RTI) 

Specific Learning Disability (SLD) MET (PSW)

Specific Learning Disability (SLD) MET (RTI)

Speech Language Impairment (SLI) MET

Severe Multiple Impairment (SXI) MET 

Traumatic Brain Injury (TBI) MET

Visual Impairment (VI) MET


Review of Existing Evaluation Data (REED)​

Notice and Consent for Evaluation

​Evaluation Timeline Extension Agreement


Consent for Medicaid School-Based Services

Medicaid Parental Consent Notification