Kentucky Department of Education

This page contains special education forms for use by local school districts.  These include due process and procedural safeguard forms for Notice and Consent as well as the Individual Education Program (IEP) and other forms targeted toward documenting the eligibility criteria for specific disabilities.

Please note that four forms were modified July, 2008 and posted August 5, 2008.  These include the IEP, the Hearing Impaired Eligibility Form and the Specific Learning Disability Eligibility Form.  All other forms are unchanged from their original posting.

The Conference Summary Report was edited to change the disability fields for Primary, Secondary, and underlying disabilities to drop down boxes with each disability listed alphabetically.  Previously, the underlying disabilities field was formatted for a date.

Autism
Deaf/Blind
Developmental Delay
Emotional Behavioral Disability
Functional Mental Disability
Hearing Impaired Revised July 2008
Mild Mental Disability
Multiple Disabilities
Orthopedically Impaired
Other Health Impaired
Specific Learning Disability Revised July 2008
Speech Language
Traumatic Brain Injury
Visually Impaired
Conference Summary Revised August 2008
Consent to Evaluate / Re-evaluate
Evaluation Plan / Form
Evaluation Terms and Descriptions
IEP Extra Goal Page Revised August 2008
Individual Education Program (IEP) Revised July 2008
Meeting Notice / Invitation
Consent for Special Education and Related Services