School Services

 Special Education Forms

The Eaton Intermediate School District Special Education Department manages, updates, and publishes all of the Special Education forms on this site for your convenience.  The forms are kept current with the Michigan Administrative Special Education Rules and IDEA.

If you have a problem opening any of these forms or have questions about any of these forms, please contact Robin Petersen at 517-541-8724 or Elaine Smiley at 517-541-8737.

                                                 

 Special Education Forms

(all other forms are in Excent Tera)

 Form

Word 

PDF

 Last Updated

 Behavior Assessment and Intervention Checklist Word Document PDF Document 8/1/2010
 Behavior Intervention Plan Review Word Document PDF Document 8/1/2010
 Documentation for Emergency Seclusion and/or Restraint Word Document PDF Document 8/1/2010
 Educational Technology Team Request Word Document PDF Document 5/5/2010
 Extended School Year (ESY) Word Document PDF Document 8/30/2011
 Functional BehaviorAssessment Report Word Document PDF Document 8/1/2010
 Instructional Intervention Checklist Word Document PDF Document 8/1/2010
 Instructional Intervention Documentation Form Word Document PDF Document 8/1/2010
 Medical Opinion - Traumatic Brain Injury Word Document PDF Document 8/1/2010
 MET - Specific Learning Disability Word Document PDF Document 9/13/2010
 Notice of Cessation of Special Education Programs and 
 Services in Response to Revocation of Parental Consent
 Word Document  8/25/2009
 OT Physician's Authorization Word Document  PDF Document 10/11/2011
 PT Physician's Authorization Word Document PDF Document 10/11/2011
 Parent Handbook/Procedural Safeguards  PDF Document 10/20/2011
 Parent Permission to Bill Medicaid for School Based Services Word Document PDF Document 8/1/2010
 RAM:  Reaching the Age of Majority Form Word Document PDF Document 8/26/2008
 Release of Information Word Document PDF Document 8/1/2010
 Revocation of Parental Consent for Special Education
 Programs and Services
 Word Document  7/28/2010
 Speech and Language Physician's Authorization Word Document PDF Document 1/12/2010