Appendix B: Sample PWN 8
Parent Revocation of Consent to Special Education and Related Services
PRIOR WRITTEN NOTICE
Re: Parent Revocation of Consent for Special Education & Related Services Page 2
The District would like to meet with you on Proposed Meeting Date with Parent to discuss your decision and its potential impacts. However, you are not obligated to meet with us, and any meeting will not delay the discontinuation of special education and related services to your child. Please contact my office at 1-Area Code + Phone Number to confirm you will attend the meeting. If we do not hear from you, we will assume that you do not wish to meet. I have enclosed a copy of Johnny’s <Date of Last IEP> IEP for your reference, as well as a copy of the District’s parental rights and pro cedural safeguards. Please feel free to contact me at the number provided above with any questions you may have at this time. You may also contact the California Department of Education with your questions at P.O. Box 944272, Sacramento, CA 94244-2720.
Thank you for your time and careful consideration in this matter. Again, if you have any questions or concerns, please do not hesitate to contact me.
Sincerely,
Name Title/Position
ENCLOSURE: PARENT WRITTEN REVOCATION OF CONSENT, NOTICE OF PARENTAL RIGHTS AND PROCEDURAL SAFEGUARDS, COPY OF LAST IEP
J:/MANUALS/P&PMANUAL/CHAPT7-PWN8-REVOKECONSENT
BP 1001 – Procedural Safeguards
Page 43
Desert Mountain Special Education Local Plan Area (DMSELPA) (rev. 03/13)
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