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Street Springfield, Illinois 62777  \n| STUDENT IDENTIFIER |  |  |  |  |  |  |  |  | NOTIFICATION OF CONFERENCE (NOC) DATE |  |  | DATE REVIEWED |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| RESIDENT SCHOOL |  |  |  |  |  |  |  |  | INDIVIDUALIZED EDUCATION PROGRAM (IEP) MEETING DATE |  |  | ISBE REVIEWER |  |  |  |  |\n| SERVING SCHOOL |  |  |  |  |  |  |  |  | REEVALUATION DUE DATE |  |  |  |  |  |  |  |\n| In accordance with, 23 IAC 226.530, the Notification of Conference was provided to the parent/guardian at least 10 Days prior to IEP Meeting?\u003Cbr> YES  NO |  |  |  |  |  |  |  |  |  | If the previous answer was ‘No’, did the parent agree via signature to waive their rights to the 10-day notification provision?\u003Cbr> YES  NO |  |  |  |  |  |  |\n| Purpose of Conference (Please check all that apply) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | IEP Review/Revision Initial IEP\u003Cbr>Initial Evaluation/Eligibility |  |  |  |  |  |  | Review of Existing Data Secondary Transition\u003Cbr>Graduation |  |  | Reevaluation\u003Cbr>Manifestation Determination |  | | Functional Behavioral Assessment (FBA) / Behavior Intervention Plan (BIP) |  |  |\n| Purpose of Notification of Conference AND Conference Summary Report is the same?  YES  NO |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| STUDENT’S DATE OF BIRTH |  |  |  |  |  |  |  |  | STUDENT’S RACE/ETHNICITY\u003Cbr> Asian  Middle Eastern or North African\u003Cbr> American Indian or Alaska Native  Native Hawaiian or Pacific Islander\u003Cbr> Black or African American  Two or More Races\u003Cbr> Hispanic/Latino  White |  |  |  |  |  | GENDER |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Female Male\u003Cbr>Non-Binary |\n| CURRENT GRADE |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  PK\u003Cbr> K\u003Cbr> 1 |  |  2 | | 5\u003Cbr>6\u003Cbr>7 |  8\u003Cbr> 9\u003Cbr> 10 |  |  11  12 |  |  |  |  |  |  |  |  |  |\n|  |  |  3 | |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  4 | |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\n\n| PRIMARY DISABILITY |  |  |  |  |  |  |  | RELATED SERVICES |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| | Autism\u003Cbr>Deaf and Blind\u003Cbr>Deafness\u003Cbr>Developmental Delay\u003Cbr>Emotional Disorder | | Hearing Impairment Intellectual Disability Multiple Disabilities Orthopedic Impairment Other Health Impairment |  |  | | Specific Learning Disabiity Speech Language Impairment Traumatic Brain Injury Visual Impairment | | Speech Language Therapy Physical Therapy Occupational Therapy Psychological Services Social Work Services Counseling Services Rehabilitation Counseling Services\u003Cbr>Assistive Technology Transportation Orientation/Mobility Interpreting Services School Health Services School Nurse Services\u003Cbr>Parent Counseling and\u003Cbr>Training Services\u003Cbr>Other: |\n| SECONDARY DISABILITY |  |  |  |  |  |  |  |  |  |\n| | Autism\u003Cbr>Deaf and Blind\u003Cbr>Deafness\u003Cbr>Developmental Delay\u003Cbr>Emotional Disorder | | Hearing Impairment Intellectual Disability Multiple Disabilities Orthopedic Impairment Other Health Impairment |  |  | | Specific Learning Disabiity Speech Language Impairment Traumatic Brain Injury Visual Impairment |  |  |\n| EDUCATIONAL ENVIRONMENT |  |  |  |  |  |  |  |  |  |\n| | 01-80% or more of the day in Gen Ed\u003Cbr>02-40-79% of the day in Gen Ed\u003Cbr>03-Less than 40% of the day in Gen Ed\u003Cbr>04 or 05-Full Day Special Education\u003Cbr>06-Phillip J Rock\u003Cbr>07-County Detention Center, State Correctional Facility or Jail\u003Cbr>08-Private Day Program or Out of State Public Program\u003Cbr>09-Private Residential Facility-In State |  |  | | 10-Private Residential Facility-Out of State\u003Cbr>11-Homebound Instructional Program\u003Cbr>12-Hospital Instructional Program\u003Cbr>13- Illinois School for the Deaf\u003Cbr>14- Illinois School for the Visually Impaired\u003Cbr>15- Illinois Center for Rehab and Education\u003Cbr>16-IDHS Operated Facility |  |  |  |  |\n| In accordance with 23 IAC 2","cbCaiuKChdghwCo9","https://ap.wps.com/l/cbCaiuKChdghwCo9","pdf",1098299,18,"English","# IEP File Review\n## Notification of Conference (NOC)\n## Purpose of Conference and Conference Summary\n## Student Information\n## Disability, Related Services, and Educational Environment\n## Written Materials and Procedural Safeguards Compliance\n## Comments","[{\"question\":\"What timing requirement does the form check for providing the Notification of Conference (NOC) to parents or guardians?\",\"answer\":\"The form checks whether the NOC was provided at least 10 days prior to the IEP meeting, as required by 23 IAC 226.530.\"},{\"question\":\"How does the form address situations when the 10-day NOC was not provided?\",\"answer\":\"If the prior answer was “No,” it asks whether the parent agreed by signature to waive the 10-day notification provision.\"},{\"question\":\"Which written materials does the form verify were delivered and how frequently?\",\"answer\":\"It verifies that written materials considered by the IEP team were provided at least three days prior to the meeting, that notices of procedural safeguards were provided at least annually, and that specific required informational items were provided at the annual IEP meeting (with checkboxes for evidence).\"}]","Illinois Special Education Accountability and Support System - IEP File Review - Review Form | PDF",1791599749,45]