Student Information Summary Form

  • Optional

  • Information that is not required by law or regulation to be included in a student’s IEP

  • School districts may add to or replace the suggested fields on this model form as they deem appropriate

Speaker Notes:

Slide 9: Student Information Summary Form

The model Student Information Summary form was developed based upon a recommendation obtained through the public comment process. In addition to information required to be in an IEP, districts wanted an accompanying form to document other IEP-related information. Therefore to assist districts that choose to use such a form, a sample Student Information Summary form was created.