Procedural Handbook

SELPA Procedural Handbook

The SELPA Procedural Handbook is currently being updated; some sections of the handbook may not be current or available at this time.  If you would like to get a copy of a specific document, please email Karen Breslow, SELPA Coordinator at kbreslow@smcoe.org or Lilian Flores, SELPA Administrative Assistant, at lflores@smcoe.org. We apologize for the inconvenience this may cause.

Table of Contents

  • Chapter 10 - Referral Procedures for San Mateo County Office of Education Special Education Programs
  • Chapter 11 - Non-Public School Placement
  • Chapter 12 - Surrogate Parent Procedures
  • Chapter 13 - Low Incidence Purchasing

Chapter 14 - Adopted Policies and MOUs

This section is being updated; some of the policies can be found in the "Policies & Administrative Regulations" section of our website.  Click here to be directed to that section of the SELPA website.

  • Index
  • Chapter 14.0 SELPA Policies and MOUs 
  • Chapter 14.1 Fiscal Responsibility
  • Chapter 14.1.1 Administrative Regulations for Fiscal Responsibility
  • Chapter 14.2 Positive Behavioral Interventions
  • Chapter 14.3 Provision of Special Education Services to Students Enrolled in Charter Schools
  • Chapter 14.4 Dispute Resolution Process
  • Chapter 14.5 Housing Plan and Procedures
  • Chapter 14.6 Students in Licensed Children's Institutions (LCIs) and Foster Family Homes (FFHs)
  • Chapter 14.6.1 Students in LCIs/FFHs Flowchart
  • Chapter 14.7 Federal Maintenance of Effort (MOE)
  • Chapter 14.8 Parentally-Placed Private School Students with Disabilities
  • Chapter 14.9 Small District Impaction Fund
  • Chapter 14.10 Extraordinary Cost Pool Unique Circumstances/Inordinate Suffering
  • Chapter 14.11 Program Transfer
  • Chapter 14.12 Program Transfer Application Form
  • Chapter 14.13 Program Transfer Assurances
  • Chapter 14.14 Program Transfer Timelines
  • Chapter 14.15 Student Movement between Districts
  • Chapter 14.16 Surrogate Parent
  • Chapter 14.17 Independent Educational Evaluations
  • Chapter 14.18 Classroom Observations
  • Chapter 14.19 Agreement between SELPA, Belmont-Redwood Shores SD and Charles Armstrong

Chapter 15 - Resources

Chapter 16 - SELPA Forms

  • Index
  • Chapter 16.1 Purpose and Scope
  • Chapter 16.2 IEP Forms
    • 16.2.1 Eligibility (Form 1)
    • 16.2.2 Individual Transition Plan (Form 1A)
    • 16.2.3 Transition Services (Form 1B)
    • 16.2.4 Present Levels of Academic Achievement and Functional Performance (Form 2)
    • 16.2.5 Special Factors (Form 3A)
    • 16.2.6 Statewide Assessments (Form 3B)
    • 16.2.7 Annual Goals (Form 4A)
    • 16.2.8 Annual Goals and Benchmarks (Form 4B)
    • 16.2.9 Annual Goals and Objectives (Form 4C)
    • 16.2.10 Offer of FAPE Services (Form 5A)
    • 16.2.11 Offer of FAPE Educational Setting (Form 5B)
    • 16.2.12 Signature and Parent Consent (Form 6A)
    • 16.2.13 Signature/Parent Consent Medical Permission (Form 6B)
    • 16.2.14 IEP Meeting Notes (Form 7)
    • 16.2.15 IEP Amendments/Addendum Page (Form 8)
  • Chapter 16.3 Supplemental Forms
    • 16.3.1 Referral for Special Education and Related Services (Form 21A)
    • 16.3.2 Notice of Receipt of Referral for Special Education Assessment (Form 21B)
    • 16.3.3 Assessment Plan (Form 22A)
    • 16.3.4 Prior Written Notice Initial Assessment (Form 22B)
    • 16.3.5 Notice of Meeting/individualized Education Program (Form 23)
    • 16.3.6 Specific Learning Disability Team Determination of Eligibility (Form 9A)
    • 16.3.7 Specific Learning Disability Report IEP Team Certification (Form 9B)
    • 16.3.8 Manifestation Determination (Forms 25A & 25B)
    • 16.3.9 Summary of Student's Academic Achievement and Functional Performance (Form 26A)
    • 16.3.10 Summary of Student's Academic Achievement and Functional Performance (Form 26B)
    • 16.3.11 Prior Written Notice for Initiation or Change in Identification, Evaluation, Placement or FAPE (Form 27)
    • 16.3.12 Prior Written Notice for Revocation of Parental Consent for Special Education and Related Services, Sample Letter (Form 28)
    • 16.3.13 Services Plan for Parentally-Placed Private School Students (Form 29)
    • 16.3.14 Interim Placement (Form 30)
    • 16.3.15 IEP Team Member Excusal Form (Form 31)
    • 16.3.16 Triennial Reevaluation Determination Form (Form 32)
  • Chapter 16.4 Forms Manual
    • 16.4.1 IEP Forms Manual (document)
  • Chapter 16.5 Additional SELPA Forms
    • 16.5.1 CASEMIS Post Secondary Follow Up (Form 23)
    • 16.5.2 IEP Team Member Input Form (Form 20)
    • 16.5.3 Consent for Extension of 60-Day Timeline (Form 22)
    • 16.5.4 Educational Benefit Checklist
  • Chapter 16.6 Behavior Forms - see Behavior Forms section
  • Chapter 16.7 Sample Letters
    • 16.7.1 Prior Written Notice of Proposed Action Graduation from High School (Sample Letter)
    • 16.7.2 Parent Revocation of Consent (Sample Letter)
    • 16.7.3 Signed IEP Requirement (Sample Letter)