Appendix G4B: Sample IEE Letter to Parents
Qualification Review of Independent Evaluators
Name:
Address:
Phone:
Your services have been requested by a parent to complete an Independent Educational Evaluation. Please respond to the following to allow INSERT DISTRICT NAME to determine if you are eligible to conduct this evaluation in accordance with our SELPA policy.
1. Please attach a brief description of your qualifications.
2. Please attach a copy of your credential or certification (including NPS/A certification, if applicable).
3. What is your billing rate?
4. How many hours does an evaluation usually take?
5. What information do you usually need prior to completing an evaluation?
6. What is the approximate length of time needed to calendar an appointment?
7. Will you be available to observe the student in the classroom and interview parents/staff?
8. Will you be available to attend the IEP meeting after the evaluation is completed?
9. What is your rate for attending an IEP meeting?
Signing below indicates your understanding of our Payment Policy. Once you have completed the evaluation/assessment you will need to send the written report to the District at the address below along with an invoice indicating the amount owed. We will then begin to process a purchase order for payment within INSERT # OF DAYS FOR PAYMENT PROCESSING days. NOTE: CONFIRM DISTRICT POLICY; ADD ANY ADDITIONAL INFO REGARDING PAYMENT.
Signature of Independent Evaluator:
Please forward your responses and relevant documents to:
INSERT DISTRICT NAME INSERT DEPARTMENT INSERT ADDRESS
INSERT CITY/STATE/ZIP CODE INSERT NAME OF CONTACT
BP 2009 – Guidelines for Independent Educational Evaluation (IEE) Desert Mountain Special Education Local Plan Area (DMSELPA) (rev. 11/21)
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