REQUEST TO INVITE OUTSIDE AGENCY REPRESENTATIVE(S)
TO THE INDIVIDUALIZED EDUCATION PROGRAM (IEP) MEETING
_______________County Schools
Student’s Full Name _________________________________
Date ________________________________
School ____________________________________________
DOB ________________________________
Parent(s)/Guardian(s) ________________________________
Grade _______________________________
Address ___________________________________________
WVEIS#______________________________
City/State __________________________________________
Telephone_____________________________
Dear: _____________________________________________
An IEP Team meeting will be scheduled for your child in the near future.
One of the purposes of the meeting will be to discuss your child’s post-secondary goals and to address the transition
services that support those goals. The following list identifies the agencies other than the school that we believe
should be invited to this meeting.
Please check the appropriate box (yes or no) indicating whether you give consent to invite each of the
listed agencies to this meeting and sign below. Return a copy of this request to the school district.
__________________________________________ ________________
Signature of parent or legal guardian or adult student Date of consent
You and your child have protection under the procedural safeguards (rights) of special education
law. The school district must provide you with a copy of your procedural safeguards once a year.
Enclosed is a copy or earlier this year you received a copy of your procedural safeguard rights in
a brochure about parent and child rights. If you would like another copy of this brochure, please
contact the district.
__________________________________ ______________________
District representative Date given/mailed to parent
