Due Process Forms

The Compliance and Assistance Division helps school districts stay in compliance with federal and state laws and regulations by providing due process forms that reflect all necessary requirements. These forms are available for school districts to use; however, school districts are also free to develop their own forms.

The recommended special education due process forms include information on parents' and students' rights and due process options as well as documents a district may choose to use to communicate with the parent, track a student’s progress and create and maintain Individualized Education Programs (IEP). Forms that have translated versions available are listed.

Please note:  Forms are in Word 2010 format. If you have an older version of Word, save forms to your computer and then open from that location .

Evaluation Report
Use this form to create an evaluation report for a special education student.  English ArabicBosnianHmongKhmerLaotianRussianSomaliSpanishVietnamese

Individualized Education Program (IEP) Form
The U.S. Department of Education’s model IEP form containing the federal requirements of the IDEA only. English

Individualized Education Program (IEP) Rubric
MDE’s rubric listing the IEP elements required by both the IDEA and Minnesota law. English

Individual Family Service Plan (IFSP) Form
Outline for creating an IFSP for an infant or toddler with disabilities under age three. English - Form Instructions

Manifestation Determination Form
Optional form for an IEP team to determine if a special education student's behavior is or is not a manifestation of his or her disability. English - Form InstructionsHmongKhmerLaotianRussianSomali Spanish

Parental Consent/Objection Form
Allows parents to consent or object to district proposals.  EnglishArabicBosnianHmong - RussianSomaliSpanishVietnamese

Prior Written Notice (PWN) Form
Model form recommended for district use to notify parents when the district proposes or refuses special education services. English

Prior Written Notice - Part B - Rubric
MDE’s rubric listing the PWN elements required by both the IDEA and Minnesota law. English

Prior Written Notice - Part C 
Model form provided to parents prior to beginning or refusing to begin early intervention evaluations, assessments and services. English - Form Instructions - Arabic - Bosnian - Hmong - Khmer - Laotian - Russian - Somali - Spanish - Vietnamese

Private School Complaint Form
For use by private schools regarding public school district consideration to views of private school design and development of special education and related activities for children with disabilities.  English

Private School Consultation Form
For use by public schools to affirm compliance with the Individuals with Disabilities Education Act (IDEA) requirement that districts "obtain written affirmation signed by representatives of participating private schools" that timely and meaningful consultation has occurred.  English

Private School Refusal to Sign Written Affirmation
Model form for public schools when a private school has refused to sign a written affirmation after a consultation during the design and development of special education and related services for a parentally placed private school child with disabilities. English