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  • 18,653 complaints received
  • 3,664 Field Investigations
  • $12,924,678 saved
  • May 1, 2012 - April 30, 2013

    Early Intervention Forms

    Agreement to Wave Reevaluation (annotated)

    Complaint Resolution Process

    Due Process Complaint Notice

    EI Complaint Registry Form

    EI Session Note Form

    Individualized Education Program with Annotations (IEP)

    Individualized Family Service Plan (IFSP)

    Invitation to Participate in IEP Meeting

    Invitation to Participate in IEP Team Meeting (Annotated)

    Invitation to Participate in IEP Team Meeting or Other Meeting

    Notice of Recommended Educational Placement Prior Written Notice (Annotated)

    Notice of Recommended Educational Placement Prior Written Notice (NOREP)

    PA 1768: Home and Community Based Services (HCBS) Eligibility/Ineligibility/Change Form

    Parent Consent to Excuse Members of IEP Meeting

    Parental Consent to Excuse Members from Attending the IEP Team Meeting (Annotated)

    Parent's Rights Agreement

    Parent's Rights Agreement (Spanish)

    Permission to Evaluate (Annotated)

    Permission to Evaluate

    Permission to Re-evaluate (Annotated)

    Permission to Re-evaluate

    Preschool EI SEPRN Announcement Form

    Procedural Safeguard Cover Letter

    Procedural Safeguards Notice

    PW 123: Certification of Need for Infants, Toddlers, and Families Waiver

    PW 123: Certification of Need for Infants, Toddlersm and Families Waiver- Spanish Version

    PW 123A: Recertification of Need for Infants, Toddlers, and Families Waiver

    PW 457: Certification of Choice for Infants, Toddlers, and Families Medicaid Waiver

    PW 457A: Fair Hearing Request for Infants, Toddlers and Families Waiver

    Schedule of Revenue and Expenditures

    The Early Intervention Process: Evaluation Report

    The Early Intervention Process: Evaluation Report With Annotations