Written
Notice of a Refused or Tabled Action
Student Name:
________________________________________
Birth date: _____________
Parent(s):
____________________________________________ Date: _________________
IDEA (20 U.S.C.
1415(c)) requires "an explanation of why the agency proposes or refuses to
take the action and a description of each evaluation procedure, assessment,
record or report the agency used as a basis for the proposed or refused action;"
The Texas Notice of
Procedural Safeguards states that "A prior written notice must describe
what the school is proposing to do or refusing to do. It must explain
why the action is proposed or refused. It must describe other options that were
considered by the ARD committee and why those options were rejected. It
must describe each evaluation procedure, assessment, record, or report the
school used as a basis for what it proposes or refuses, and any other factors
relevant to what is proposed or refused."
Purpose of this
notice:
___ An action being
refused by the LEA
___ An action being
tabled by the LEA Date of
next consideration: __________________
Notice:
1. A description of
the action refused [or tabled] by the local education agency.
2. An explanation of
why the local education agency refuses to take the action [or tables it].
3. A description of
any other options the ARD team considered and the reasons for the rejection of
those options.
4. A description of
each evaluation procedure, assessment, record, or report the local education
agency used as a basis for the refused [or tabled] action.
5. A description of
any other factors that is relevant to the local education agency's refusal.
___________________________________ _______________________________________
(Signature)
(LEA Position)
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