The New York State Education Department has developed the attached recommended IEP forms, one for school-age students and one for preschool students. The sample IEP forms guide schools to develop the IEP in a particular sequence and include sections for schools to complete each of the required components of the IEP.

The forms should be used in accordance with the guidance provided in this document. The sample IEP forms may be used in the electronic version found on the Department’s web site at www.vesid.nysed.gov/specialed/publications or may be duplicated by the district/agency and converted to an electronic format most compatible with the district’s/agency’s software and hardware. Local districts may create their own IEP forms as long as all mandated sections and information are included.

 The following chapters of this document provide guidance on developing and documenting recommendations on each of the components of the IEP.

• IEP Identifying Information
• Present Levels of Performance and Individual Needs
• Projected Post-School Outcomes
• Annual Goals, Short-Term Objectives and Benchmarks
• Recommended Special Education Programs and Services
• Coordinated Set of Transition Activities (School to Post-School)
• Reporting Progress to Parents
• Placement Recommendation
• Declassification Recommendations
• Supplemental Information (Parent Information and Committee Participants)
• IEP Implementation

 In general, each chapter presents regulatory requirements, followed by guidance and examples on each of the required components, quality indicators and a sample IEP for that section.

 Examples and sample IEPs are provided to demonstrate how the form would be completed. The examples and samples should not be construed as a model IEP for any particular student or disability category. The sample IEP sections at the end of each chapter are from a school-age student’s IEP. Attachment 4 provides a completed sample of a preschool student’s IEP.