Under 34 CFR §300.503(a), the school district must give you a written notice (information received in writing), whenever the school district: (1) Proposes to begin or change the identification, evaluation, or educational placement of your child or the provision of a free appropriate public education (FAPE) to your child; or (2) Refuses to begin or change the identification, evaluation, or educational placement of your child or the provision of FAPE to your child. The required content under 34 CFR §300.503(b) is listed below in this model form. The school district must provide the notice in understandable language (34 CFR §300.503(c)).
This model form provides a format that States and/or school districts may choose to adopt to construct the form that they will use to provide that notice. The school district will need to insert the required child- and situation-specific information, and must inform parents, as part of the notice, that they have protection under the procedural safeguards of Part B of the IDEA.
Prior Written Notice Under Part B of the IDEA
Description of the action that the school district proposes or refuses to take:
Explanation of why the school district is proposing or refusing to take that action:
Description of each evaluation procedure, assessment, record, or report the school district used in deciding to propose or refuse the action:
Description of any other choices that the Individualized Education Program (IEP) Team considered and the reasons why those choices were rejected:
Description of other reasons why the school district proposed or refused the action:
Resources for the parents to contact for help in understanding Part B of the IDEA:
If this notice is not an initial referral for evaluation, how the parent can obtain a copy of a description of the procedural safeguards: