Special Education Forms

Adult Agency PPT Participation Permission in pdf format
Behavior Support Plan - Tier I

Behavior Support Plan - Tier II
Behavior Support Plan Implementer Checklist
Bullying - Pre-bullying Referral Form

CAPT 2013 Form in pdf format
CMT 2013 Form in pdf format
ED 620 Planning & Placement Team Packet: Includes IEP (as of 3-19-09)
ED 620 Page 7 only (as of 3-19-09)
ED 621 Referral to Determine Eligibility for Special Education & Related Services
ED 622 Parent Notice of Referral to Determine Eligibility for Special Education & Related Services    
ED 622 Type in Form
ED 623 Notice of Planning & Placement Team Meeting
ED 624 Documentation of Attempts to Seek Parent/Guardian Participation
ED 625 Notice & Consent to Conduct an Initial Evaluation
ED 626 Consent for Special Education Placement
ED 627 Notice of Consent to Conduct a Re-evaluation
ED 628 Confidential File Access Record
ED 629 Multidisciplinary Evaluation Report
ED 630 Reading Worksheet (as of 9-12-12)
ED 631 Math Worksheet (as of 9-12-12)
ED 632 Least Restrictive Environment Procedural Checklist
ED 633 Planning & Placement Team Attendance
ED 634 Agreement to Change an Individualized Education Program Without Convening a Planning & Placement Team Meeting
ED 635 Summary of Performance
ED 636 Written Expression Worksheet (as of 9-12-12)
Functional Behavior Assessment
IEP Team Worksheet to Determine Eligibility Due to Emotional Disturbance
Incident Report
Intellectual Disability Eligibility Form
Language and Communication Plan
Manifestation Determination Worksheet

PPT Report of Eligibility for Speech/Language Services*
Referral to Determine Eligibility for Special Education & Related Sevices - Word docu
Referral to Determine Eligibility for Special Education & Related Sevices* - pdf version
Release of Information - Word document
Release of Information* - pdf version
Request Independent Assessment

Section 504 Adaptations Checklist
Section 504 Student Eligibility Determination - pdf version
Section 504 Student Eligibility Determination - Word version
Section 504 Meeting Notice
Section 504 Meeting Summary and Accommodation Plan
Section 504 Referral Form
Section 504 Parent/Student Rights
Transportation - Regular School Year
Transportation - Summer School


*Requires Adobe Acrobat Reader (Free Download) 

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District News view all news
Photo Slideshow - November 8, 2017
Students in Mrs. Cookson's 4th grade class have been working to read "with their noses in the book" and notice details about their characters in order to develop an interpretation. This week they applied these new strategies to closely read and interpret photographs. Please click for more.
Webb Students, Staff, and Parents come together for Walk to School Day! Thank you to all our families that were able to join us and to Mr. John Morris and Mrs. Elaine Paradise from the Board of Education for walking with us!
WHS Students Helping Puerto Rico

Wethersfield Public Schools

127 Hartford Avenue
Wethersfield, CT 06109
Phone: 860-571-8100

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