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

​​​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

​Interim Alternative Education Setting (IAES)

IEP Checklist

Nonpublic Services Plan

Nonpublic Services Plan

Notice for Initial Provision of Nonpublic Services 

Notice for Provision of Nonpublic Services ​​

​Meeting Invitation

Notice for Initial Provision of Services and Programs ​

Notice for Provision of Services and Programs IEP

Notice for Provision of Programs and Services IAES

Notice of Change of Placement - Discipline 

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


Manifestation Determination Review

Interim Alternative Educational Setting (IAES) 

Notice of Change of Placement - Discipline​​

Discipline Tracking Record​

Discipline Services Log


Consent for Medicaid School-Based Services

Medicaid Parental Consent Notification