Thirty (30) School Day Evaluation Timeline Extension Agreement




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Thirty (30) School Day Evaluation Timeline Extension Agreement
Student’s Legal Name:      
DOB:      
District: 
Dear      :
Due to the time required to consider all academic, social, and emotional aspects of your child, the 30 school day timeline, as mandated by the Michigan Administrative Rules for Special Education, for completion of this special education evaluation will be exceeded, and an extension is requested. The reason for this extension is as follows (check one):
 Additional testing was required/requested

 Parent requested the meeting be held after the 30-day timeline

 Child was not available when testing was planned/scheduled

 Child moved into the district with an evaluation started in previous district

 Other:      
Because the required timeline will be exceeded, both the school and parent must agree to an extension. Therefore, we are seeking your agreement to extend the evaluation timeline from 30 school days to       school days. The original IEP meeting due date of       will be extended and must now be held by      .
Parent and school reached agreement through:

 Phone Contact  Email Communication  In Person  Other:


Please note your agreement of this evaluation timeline extension by marking the box below.
 I give my permission for an extension of the thirty (30) day timeline for completion of this evaluation as indicated above.
 I do not give my permission for an extension of the thirty (30) day timeline for completion of this evaluation as indicated above.

Parent/Guardian Signature Date




School District Representative Signature Date


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