Purpose

The cover sheet of the IEP provides important information regarding the student and the Committee meeting at which the current IEP has been developed.

Student identifying information

The student’s name, date of birth and age are indicated on the IEP.

Disability Classification

The IEP must designate the disability classification of the student from one of the disabilities defined in regulations. Only one disability category should be listed on the IEP.

• For preschool students, the disability category must be designated as "preschool student with a disability." This is the case regardless of whether a preschool student’s eligibility was determined on the basis of a significant delay or disorder or one of the specific disability categories of autism, deafness, deaf-blindness, hearing impairment, orthopedic impairment, other health-impairment, traumatic brain injury or visual impairment including blindness.

• For school age students, the IEP must specify one of the following disabilities: autism, deafness, deaf-blindness, emotional disturbance, hearing impairment, learning disability, mental retardation, multiple disabilities, orthopedic impairment, other health-impairment, speech or language impairment, traumatic brain injury or visual impairment including blindness. These disabilities are defined in section 200.1(zz) of the Regulations of the Commissioner.
  
• When a student is determined to no longer require special education services, the IEP classification should indicate "declassified."

Individual Student Information

The IEP could indicate other identifying information on the student, including but not limited to the following:

• address
• telephone number
• county of residence
• gender
• the student’s identification number, if used by the school district
• current grade (or grade equivalent)

Native Language of Student: It is important to document the language normally used by the student in the home or learning environment. For a student with deafness or blindness, or for an individual with no written language, specify the mode of communication that is normally used by the individual (such as sign language, Braille or oral communication).

Need for Interpreter for Student: The IEP should indicate if the student needs an interpreter to participate meaningfully in the Committee meeting to develop the IEP. If an interpreter is needed, the IEP should specify the language.

Medical Alerts: Only medical information that would be readily available to all teachers and other appropriate school personnel, such as medications or specific health-related conditions requiring either constant or intermittent care by a qualified individual, can be specified on an IEP (e.g., hearing aids, allergic reactions, medication for seizures). The type of medication or frequency of administration (i.e., brand name and specific dosage) should not be indicated on the IEP. This information is kept in the child’s confidential health records file.

Surrogate Parent Needed: To ensure the rights of the student are protected, the Committee must designate a surrogate parent in every case when:

• no parent of the student can be identified,
• the school district, after reasonable efforts, cannot discover the whereabouts of the student’s parents; or
• the student is a ward of the State.

A surrogate parent cannot be an officer, employee or agent of the school district or any other agency involved in the education or care of the student, except that a foster parent of the student who meets the surrogate parent qualifications may be appointed as the surrogate parent of that child. Information about the surrogate parent may be documented in the supplemental "Parent Information" section of the IEP.

Meeting Information

Important information pertaining to the Committee meeting at which the current IEP is developed should be indicated, including the date and the type of the meeting.

The type of meeting would include one of the following:

Initial: A meeting to determine the student’s initial eligibility and recommendation for special education services.

Requested Review: A meeting requested by the parent or school personnel to discuss a particular concern.

Annual Review: A meeting to review the student’s IEP which must occur at least once a year.

Reevaluation: A meeting to review the results of a reevaluation and, as appropriate, to revise the student’s IEP.

Other: Any meeting held for another purpose, such as a meeting to conduct a manifestation determination or a meeting to review a behavioral intervention plan. The IEP form provides a field to designate the purpose of the meeting.

Date IEP is to be Implemented

The IEP should indicate the projected date the IEP is to be implemented. An IEP is in effect beginning with placement and ending with the next scheduled review by the Committee.

Projected Date of the Next Review

The IEP must indicate the projected date of the review of the student’s need for special education services. Each student’s IEP must be reviewed at least annually. Some students require more frequent reviews to adjust the student’s educational program as a result of a student’s changing needs.

Projected Date of Reevaluation Meeting

A meeting to discuss the results of the reevaluation and to determine the student’s individual needs and progress, whether the student still needs special education services or what changes may be needed to address the student’s needs. This meeting must occur at least every three years (calculated from the date of the Committee meeting of the initial determination of eligibility or previous reevaluation meeting).

Other information

This section of the IEP provides space to document other important identifying information about the student or the meeting.

• Sections 200.1, 200.4 and 200.16 of the Regulations of the Commissioner of Education
• Individual Evaluations and Eligibility Determinations for Students with Disabilities – August 2000, revised January 2002

See Attachment 5

Student Name: Kevin Smith

Date of Birth: 10/3/86 Age: 16

Disability Classification: Traumatic Brain Injury

Street: 345 Ocean Street
City: Miami
Zip: 23792

Student ID#: 00-11-23
Current Grade: 11

Medical Alerts: Medication for headaches

Surrogate Parent Needed: Yes [ ] No [X]

Telephone: 333-425-6677
County of Residence: Seaside
Male  [X] Female [ ]

Native Language of Student: English
Interpreter for Student Needed: 
Yes [ ] No [X]

If yes, specify language: 

Date of Committee on Special Education (CSE) Meeting: 9/30/02

Date IEP is to be Implemented: 10/14/02

Projected Date of Next Review: Review in 4 months on 2/1/03; Annual Review: 9/03

Projected Date of Reevaluation Meeting: 9/05

Other Information:
Kevin sustained a head injury as a result of a car accident in May 2002. He spent 2 weeks in the hospital. Upon returning home he began receiving rehabilitation therapy to address cognitive and speech difficulties.