Department of Special Services documents

Individualized Education Program (IEP) and other DSS Forms

Fairfax County Public Schools (FCPS) individualized education program (IEP) forms have been revised this year to incorporate the changes within the Individuals with Disabilities Education Act (IDEA), which was reauthorized in November of 2004.

The IEP and related forms have been revised and renumbered:

IEP 100’s - Static Information Forms related to IEP (Individualized Education Program)
IEP 200’s - Forms related to IEP that include data to be completed (notices, etc.)
IEP 300’s - IEP Forms
ISP 400’s - Forms related to ISPs (Individual Services Plan)
IFSP 500’s - Forms related to IFSPs (Individual Family Services Plan)

For more information about the new IEP forms please contact your child's special education teacher or the school principal. Additional information on the IEP process.


IEP Form Number/Title
IEP-101	IEP Meeting Agenda for Parents
IEP-102	Parent Information for IEP
IEP-104	Diploma Options and Requirements
IEP-105	ESY Information Sheet
IEP-201	IEP Meeting Notification Contact Log
IEP-202	IEP Notice - Initial/Annual
IEP-203	IEP Progress Report - Annual Goals
IEP-204	IEP Progress Report - Annual Goal/Short Term Objectives
IEP-205	ESY Progress Reporting
IEP-206	Transmittal Letter
IEP-207	Transitioning Transmittal Letter
IEP-208	Non-Attendance of IEP Team Members
IEP-209	Manifestation Determination Review
IEP-211	IEP Addendum Without a Meeting
IEP-212	IEP Progress Report - Short Term Objectives
IEP-215	Preschool Transmittal Letter
IEP-301	IEP Meeting Agenda
IEP-302	IEP Cover Page
IEP-303	Transition Goals
IEP-304	Transition Services
IEP-306	Area of Need/Annual Goal and Short Term Objectives
IEP-307	Area of Need/Annual Goal
IEP-308	Curriculum/Classroom Accommodations and Modifications
IEP-309	Information Related to Present Level of Educational Performance
IEP-310	Elementary Assessment
IEP-311	Elementary Accommodations
IEP-312	Middle School Assessment
IEP-313	Middle School Accommodations
IEP-314	High School Assessment
IEP-315	High School Accommodations
IEP-316	VAAP Criteria
IEP-317	VGLA Criteria
IEP-318	VSEP Criteria
IEP-319	Least Restrictive Environment
IEP-320	Services
IEP-321	Placement
IEP-322	Extended School Year
IEP-323	Prior Notice and Consent
IEP-325	Calculator Criteria Form
IEP-326	Read Aloud or Audio Accomodations Criteria Form

Procedural Safeguards
Form #	Form Name
SS/SE 4	Virginia Procedural Safeguards
SS/SE 210	Secondary School Transition Summary
IEP 212	Progress Report Short Term Objectives
IFSP and ISP Forms
Form #	Form Name
IFSP 501	IFSP Summary Sheet
ISP 401	ISP Meeting
ISP 402	ISP Parent Information
ISP 403	Individualized Services Plan
ISP 404	ISP Goals
ISP 405	ISP Progress Report
Other Requested DSS Forms
SS/SE 79	Consent for Release of Educational Records
SS/SE 130	Parental Notice of Appeal

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Updated: 04/17/09