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 .
Authorization to Release Information Form
Districts must obtain written authorization from a student's parent or legal representative before sharing private information with individuals or entities that are not public schools. This sample form incorporates state and federal privacy rule requirements.
English -
Form InstructionsDue Process Hearing Request
Optional form for requesting a special education due process hearing.
English -
Hmong -
Khmer -
Laotian -
Russian -
Somali -
Spanish
Evaluation Report
Use this form to create an evaluation report for a special education student.
English -
Arabic -
Bosnian -
Hmong -
Khmer -
Laotian -
Russian -
Somali -
Spanish -
VietnameseHow to File a Special Education Complaint: Part C - Infant & Toddler Early Intervention, Ages Birth-2
Outlines how to file a special education complaint for Part C with the Minnesota Department of Education and what happens once a complaint is received.
English -
Arabic -
Bosnian -
Hmong -
Khmer -
Laotian -
Russian -
Somali -
Spanish -
VietnameseHow to File a Special Education Complaint: Part B
Outlines the way to file a special education complaint for Part B with the Minnesota Department of Education and what happens once a complaint is received.
English -
Arabic -
Chinese -
Hmong -
Khmer -
Laotian -
Russian -
Spanish -
VietnameseIndividual Education Program (IEP) Form
Outline for creating an IEP for a special education student.
English -
Form Instructions -
Arabic -
Bosnian -
Hmong -
Khmer -
Laotian -
Russian -
Somali -
Spanish -
Vietnamese
Individual Family Service Plan (IFSP) Form
Outline for creating an IFSP for an infant or toddler with disabilities under age three.
English -
Form InstructionsManifestation 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 Instructions -
Hmong -
Khmer -
Laotian -
Russian -
Somali -
Spanish
Notice of IEP Meeting
Form used to notify parents of IEP team meeting.
English -
Arabic -
Bosnian -
Hmong -
Laotian -
Russian -
Somali -
Spanish -
VietnameseNotice of Transfer of Parental Rights
Form used to notify parents and student that educational decisions will transfer from parents to the student on his/her 18th birthday.
English -
Hmong -
Khmer -
Laotian -
Russian -
Somali -
Spanish
Optional Special Education Complaint Form
Suggested form for submitting a special education complaint to the Minnesota Department of Education.
EnglishParental Consent/Objection Form
Allows parents to consent or object to district proposals.
English -
Arabic -
Bosnian -
Hmong -
Russian -
Somali -
Spanish -
VietnamesePrior Written Notice - Part B
Form used to notify parents when a district proposes or refuses services under Part B of the Individuals with Disabilities Education Act.
English -
Arabic -
Bosnian -
Hmong -
Khmer -
Laotian -
Russian -
Somali -
Spanish -
VietnamesePrior Written Notice - Part C
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 -
VietnamesePrivate 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.
EnglishPrivate 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