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Vocational and Educational Services for Individuals with Disabilities (VESID)
Special Education and Vocational Rehabilitation Services


Please note: The Sample School-Age and Preschool IEPs have been amended to reflect the new requirements of the Individuals with Disabilities Education Act (IDEA 2004) as of December 2005. However, the guidance in the document is currently being revised.

 

Sample
Individualized Education Program
(IEP)
and Guidance Document

December 2002

(Sample IEP's only updated December 2005)

Table of Contents

(Click here for IEP Document in Printable (pdf) Format)

 

The University of the State of New York
The State Education Department
Office of Vocational and Educational
Services for Individuals with Disabilities
Albany, N Y 12234


THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / ALBANY, NY 12234

DEPUTY COMMISSIONER FOR VOCATIONAL AND EDUCATIONAL SERVICES FOR INDIVIDUALS WITH DISABILITIES


 

 

December 2002

Dear Educators, Parents and Others Interested in the Education of Students with Disabilities:

        The process of providing a free appropriate public education to a student with a disability requires that each student have an individualized education program (IEP). The IEP is the document that identifies a student with a disability’s unique needs. It sets forth the recommendations for the supports, services, programs and accommodations necessary to address those unique needs and to support that student’s participation and progress in the general curriculum (or, for preschool students, to support the student’s participation in age appropriate activities).

        In 1998, the New York State Education Department issued a Sample Individualized Education Program (IEP) and Guidance Document. Since that time, both Part 300 of the Code of Federal Regulations and Part 200 of the Regulations of the Commissioner of Education of New York State have been amended relating to IEP development. The attached revised sample IEP and guidance document reflects new requirements and provides additional technical assistance to develop instructionally relevant and legally correct IEPs. I recommend you use the attached sample IEP and carefully follow the guidance provided in this document. If you do so, the IEPs developed for your students will be useful documents that guide instruction and provide a tool to measure a student’s progress.

        If you have any questions regarding this document, contact the Special Education Policy Development Unit at (518) 473-2878. Other school district specific questions should be directed to the Regional Associate at one of the following VESID Special Education Quality Assurance Regional Offices:

Eastern Regional Office

(518) 486-6366
Hudson Valley Regional Office (914) 245-0010
Long Island Regional Office (631) 884-8530
New York City Regional Office (718) 722-4544
Central Regional Office (315) 428-3287
Western Regional Office (585) 344-2112, ext. 420

Sincerely,

Lawrence C. Gloeckler

If you would like to receive notification of our publications via e-mail, register at
www.vesid.nysed.gov/specialed/publications/register.htm


THE UNIVERSITY OF THE STATE OF NEW YORK
Regents of The University

Robert M. Bennett, Chancellor, B.A., M.S. Tonawanda
Adelaide L. Sanford, Vice Chancellor, B.A., M.A., P.D. Hollis
Diane O’Neill McGivern, B.S.N., M.A., Ph.D. . Staten Island
Saul B. Cohen, B.A., M.A., Ph.D. New Rochelle
James C. Dawson, A.A., B.A., M.S., Ph.D. Peru
Robert M. Johnson, B.S., J.D. Huntington
Anthony S. Bottar, B.A., J.D. North Syracuse
Merryl H. Tisch, B.A., M.A. New York
Geraldine D. Chapey, B.A., M.A., Ed.D. Belle Harbor
Arnold B. Gardner, B.A., LL.B. Buffalo Hartsdale
Harry Phillips, 3rd, B.A., M.S.F.S. Hartsdale
Joseph E. Bowman, Jr., B.A., M.L.S., M.A., M.Ed., Ed.D Albany
Lorraine A. CortÉs-VÁzquez, B.A., M.P.A. Bronx
Judith O. Rubin, A.B. New York
James R. Tallon, jr., B.A., M.A. Binghamton
Milton L. Cofield, B.S., M.B.A., Ph.D. Rochester

President of The University and Commissioner of Education
Richard P. Mills

Chief Operating Officer
Richard H. Cate

Deputy Commissioner for Vocational and Educational Services for Individuals with Disabilities
Lawrence C. Gloeckler

Manager, Special Education Policy
Rita D. Levay

 

The State Education Department does not discriminate on the basis of age, color, religion, creed, disability, marital status, veteran status, national origin, race, gender, genetic predisposition or carrier status, or sexual orientation in its educational programs, services and activities. Portions of this publication can be made available in a variety of formats, including braille, large print or audio tape, upon request. Inquiries concerning this policy of nondiscrimination should be directed to the Department’s Office for Diversity, Ethics, and Access, Room 530, Education Building, Albany, NY 12234. Requests for additional copies of this publication may be made by contacting VESID, Special Education Policy Unit, Publications, Room 1624 OCP, Albany, NY 12234 or your local SETRC.


Acknowledgements

The New York State Education Department wishes to acknowledge the following individuals who substantially contributed to the content of the publication, Sample Individualized Education Program (IEP) and Guidance Document.

Publication Development

Patricia J. Geary
Associate, Special Education Policy

Barbara Miller
Associate, Special Education Policy

Carol Northrup, Secretary

Review Committee

James P. DeLorenzo
Supervisor, Eastern Regional Quality Assurance Office

Christine Efner
Regional Associate

Doris Jamison
Supervisor, Special Education Policy Implementation

Nancy Lauria
Associate, Special Education Policy

Sandra Rybaltowski
Associate, Special Education Policy

Candace Shyer
Supervisor, Special Education Policy Development

Other Reviewers

The Department also acknowledges and is grateful to the parents, school district representatives and others who assisted in the review of this document.


Sample Individualized Education Program (IEP)
And Guidance Document

Table of Contents

 

Introduction

Overview

The New York State Education Department Sample IEP Forms

School Age IEP Form (Updated December 2005)

Preschool IEP Form (Updated December 2005)

IEP Identifying Information

Present Levels of Performance and Individual Needs

Projected Post-School Outcomes

Annual Goals, Short Term Instructional Objectives and Benchmarks

Recommended Special Education Programs and Services

Coordinated Set of Transition Activities (School to Post School)

Placement Recommendation

Reporting Progress to Parents

Recommendations upon Declassification

Supplemental Information

IEP Implementation

Attachment 1:

Committee on Preschool Special Education, Committee on Special Education, Subcommittee on Special Education

Attachment 2:

Consideration of Special Factors

Attachment 3:

Supplemental Form: Progress Toward Annual Goals

Attachment 4:

Sample Completed Preschool IEP

Attachment 5:

Additional Resources Relating to IEP Development