Fillable ACKNOWLEDGEMENT OF NOTICE OF FAMILY RIGHTS AND SAFEGUARDS

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ACKNOWLEDGEMENT OF NOTICE OF FAMILY RIGHTS AND SAFEGUARDS

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SCDHHS/IDEA PART C/01DEC21/ALL PREVIOUS VERSIONS ARE VOID
PARENT ACKNOWLEDGEMENT OF FAMILY RIGHTS AND SAFEGUARDS
ACKNOWLEDGEMENT OF NOTICE OF
FAMILY RIGHTS AND SAFEGUARDS
The Notice of Family Rights and Safeguards describes your child’s
and family’s rights, as defined by Part C of the Individuals with
Disabilities Education Act (IDEA). This notice uses language
contained in 34 CFR 303-Part C Regulations.
I have received a copy of my rights under IDEA/Part C (Parent Notice of Family Rights and Safeguards), and
these have been explained to me by my Intake Coordinator.
Parent
Signature
Date
Intake Coordinator Signature
Date
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ACKNOWLEDGEMENT OF NOTICE OF FAMILY RIGHTS AND SAFEGUARDS

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Completed 11 March 2022

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