This page uses extracted PDF text. Text can misread numbers, dates or table columns. Check the PDF before quoting or interpreting it. Redacted areas remain redacted.
Prior Written Notice Of Intent To Initiate Deny or Change
Identification Evaluation or Educational Placement
Newport News, VA 23606
12465 Warwick Boulevard
Newport News Public Schools
Student Name:
Student ID #:
Date:
To the Parents of:
DOB:
School:
A description of the action proposed or refused by the school division.
An explanation of why the action is proposed or refused.
A description of any options the school division considered and an explanation of the reasons why these options were rejected.
A description of each evaluation procedure, test, record or report used as a basis for the action.
A description of any other factors relevant to the school division's proposal or refusal.
As a parent or a child who has been identified as disabled you have certain rights as outlined in the booklet,
Sources from which parents may obtain assistance in understanding these provisions.
Supervisor, Referral/Assessments, Newport News Public Schools, 12465 Warwick Blvd., Newport News, Virginia, 23606, Phone (757) 283-7850.
Director, Special Education, , Newport News Public Schools, 12465 Warwick Blvd., Newport News, Virginia, 23606, Phone (757) 283-7850.
Department of Compliance and Due Process, Virginia Department of Ed, P.O. Box 2120, Richmond, VA 233218-2120, Phone (804)225-2771.
Parent/Guardian/Surrogate Acknowledges Receipt of this Notice
Signature of School Personnel Completing Form
Procedural Safeguards for Special Education
Related to Free Appropriate Public Education.
A copy of the booklet can be obtained by contacting your child’s school principal or by calling (757) 591-4592.
Special Education R 7/05
Original – Special Education
Copy 2 – School
Copy 1– Parent
26
SIGNJump to an indexed page (26 of 26)