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Other Special Education Department Forms

Dr. David Strauss,
Supervisor of Special Education/Child Search
Email Dr. Struass


Medicaid Forms

Notice and Consent Regarding Payment from Medicaid Benefits
Parental Agreement Form


Intervention Forms

Intervention Report for Students with Failing Grades

Directions for the Intervention Report For Students with Failing Grades


Community Based Education Forms
Available in pdf format.

West Baton Rouge Parish Request for Educational Tours Form

West Baton Rouge Parish School Board Special Services Student Identification Form

West Baton Rouge Pairsh School Board Community Based/ Vocational Activities Guidelines

West Baton Rouge Parish School Board Community Based/ Vocational Activities Form



Special Education Department Evaluation Forms
Available in pdf format.

CIE-1: Consent for Initial Evaluation Page 1
CIE-2: Consent for Initial Evaluation Page 2
CIE-3: Permission to Conduct an Initial Individual Evaluation




Other Special Education Department Forms
Available in pdf format.

Important Facts to Keep In Mind
West Baton Rouge Parish School Board
Special Services
Employee Information



Waiver of Confidentiality
Available in pdf format.

Waiver of Confidentiality



Special Education ADD Form
Available in pdf format.

ADD Form: ADD



IEP Letter
Available in pdf format.

IEP Letter
Site Determiniation Form
CPI: Critical Point of Instruction Documentation Form
AN: Agency Notification of IEP Meeting
AOM 1: Age of Majority Letter
AOM 2: Age of Majority Letter



Prior Notice Forms: Pages 1-3; PN1, PN2, and PN3
Available in pdf format.

PN1: Letter, Page 1
PN1: Letter, Page 2
PN1: Letter, Page 3




Due Process Forms
Available in pdf format.

Due Process Checklist: DPC



Pupil Progression Documentation
Available in pdf format.

COA: Students Considered Under the Provisional Eligibility Criteria for a Certificate of Achievement
LEAP 21 Alternate Assessment, Level 1 Participation Criteria
LEAP 21 Alternate Assessment, Level 2 Participation Criteria
Parent/Guardian and/or Adult Consent Form for PRE-GED Skills/Option Programs



ESYP Forms
Available in pdf format.

ESYP 1: Letter of Initial Screening for Extended School Year Program: Eligibility and Schedule of ESY IEP Meeting
ESYP 2: Letter of Initial Screening for Extended School Year Eligibility: Ineligibility
ESYP 3: Screening/Evaulation Notification
ESYP Progress Report



Drop/Termination Form
Available in pdf format.

Drop/Termination Form: DROP




Special Education Department Purchasing Guidelines and Purchase Order

WEST BATON ROUGE PARISH SCHOOL BOARD PURCHASE ORDER POLICY
Special Education Department

In order for any teacher to purchase materials and/or supplies for their students and classrooms the following procedures must be followed:
  • Purchase Order Forms are to be used for all purchases and submitted to Sandy Duhon at the Central Office (please do not send to Dr. Strauss)
  • Separate order forms are to be used for each vendor
  • Vendors name, address, telephone number, and fax number should be included on each purchase order form as well as teachers name and school.
  • If making a direct purchase, such as Wal-Mart or CoOp Book Store, a quote of the purchase must first be submitted to the central office. Then, if approved, a purchase order form with an allotted purchase order number will be granted to the teacher. No purchases can be made without this purchase order form and number.
  • Please allow 10% for shipping/handling
  • Please order ink cartridges for your printers. These are not supplied by the department.
  • DO NOT EXCEED THE AMOUNT ALLOTED

Any orders purchased that did not first receive an approved purchase order form and number will be the responsibility of the person who ordered the materials, not the central office. Even if the order is verbally approved, either in person or via telephone, the central office will not pay for it unless it has the appropriate purchase order form and number to accompany it.

If for any reason the above procedures are not followed properly the WBR Parish School Board/Special Education Department will not retain responsibility for payment of the order.

Click here to download and print a copy
of the guidelines outlined above.
Download a copy of the Special Education Department Purchase Order
in Excel format.

Completed Purchase Orders may be emailed to
Sandy Duhon.
Download a copy of the
Special Education Department Purchase Order
in pdf format.



SpEd Inventory
Available in pdf format.

Inventory Form




Access the Homebound Services forms below. All forms are in pdf format.
Form: Homebound Teacher Flier
Form: Homebound Procedures
Form: Procedures Admin
Procedures for Principals
Form: HB Procedures for Special Education Teachers
Form: Procedures Teachers
Procedures for Teachers
Form: HH1
Physician's Information Form
Form: HH2
Student Information Sheet
Form: HH3
Homebound Parental Agreement
Form: HH4
Phone/Contact Log
Form: HH5
Attendance Log
Form: HH6
Notification of Homebound Services
Form: HH7
Assignment Log
Form: HH8
Form: HH13
Assignment Log (Word Document)





Contact Webmaster: Tammy S. Seneca