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    Diversity Early Intervention Part C Español For Family Members IDEA IDEA 97 IDEA IDEA 04 Mediation Mediators Facilitators Part C Early Intervention Preparing for Dispute Resolution Research and Evaluation Resources Sample State Forms System Design Training Resources Video Resources Dispute Resolution in Special Education Exemplar Collection Resources and guidance that illuminate and promote exemplary approaches to the design implementation and improvement of dispute resolution systems Exemplar Home State System Profile

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  • Exemplar Items
    Family Members IDEA IDEA 97 IDEA IDEA 04 Mediation Mediators Facilitators Part C Early Intervention Preparing for Dispute Resolution Research and Evaluation Resources Sample State Forms System Design Training Resources Video Resources Dispute Resolution in Special Education Exemplar Collection Resources and guidance that illuminate and promote exemplary approaches to the design implementation and improvement of dispute resolution systems Exemplar Home State System Profile Resource Showcase Videos Other Resources Exemplar Items

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  • Critical System Functions
    and Evaluation Resources Sample State Forms System Design Training Resources Video Resources Dispute Resolution in Special Education Exemplar Collection Resources and guidance that illuminate and promote exemplary approaches to the design implementation and improvement of dispute resolution systems Exemplar Home State System Profile Resource Showcase Videos Other Resources Critical System Functions All Critical System Functions Oversight Data Tracking Forms Materials related to data collection and methods used to track the

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    Resolution in Special Education Exemplar Collection Resources and guidance that illuminate and promote exemplary approaches to the design implementation and improvement of dispute resolution systems Exemplar Home State System Profile Resource Showcase Videos Other Resources Exemplar Item Groupings Criteria Process definition System wide Critical System Function Data Tracking Forms Data Tools Tracking Data Collection Forms CADRE DAC Webinar on DR Data Quality Analysis http www directionservice org cadre Webinar1MAR2010 cfm CADRE SPP APR Data Analysis and Submission Resources http www directionservice org cadre datasubmission cfm Sample Multipurpose Request Complaint Filing Forms AZ Dispute Resolution Form Part C Spanish AZ 10 Part C State Complaint Form Spanish pdf NJ Agreement Reached Withdrawal of Mediation Hearing or Complaint NJ 2 Agreement Reached Withdrawal pdf NJ Agreement Reached Withdrawal of Mediation Hearing or Complaint Spanish NJ 8 Part C Agreement Reached WithdrawalForm SpanishJUL12 pdf NJ Formal Dispute Resolution Request NJ 4 Dispute Resolution Request FormSEP12 pdf NJ Formal Dispute Resolution Request Form Spanish NJ 6 Part C FormalDRResolutionRequestForm SpanishMAY13 pdf Sample System wide Forms CA Office of Administrative Hearings Forms http www dgs ca gov oah SpecialEducation Forms aspx MN Authorization for Release of Information MN 14 Records Access Authorization FormAPR2013 pdf MN

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    Resources Sample State Forms System Design Training Resources Video Resources Dispute Resolution in Special Education Exemplar Collection Resources and guidance that illuminate and promote exemplary approaches to the design implementation and improvement of dispute resolution systems Exemplar Home State System Profile Resource Showcase Videos Other Resources Exemplar Items Criteria Process Telephone Intermediary Critical System Function Data Tracking Forms Hawaii HI Part C Concern Log HI 1 Concern Log 12 14

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    Critical System Function Data Tracking Forms Data Tools Tracking Data Collection Forms ID Facilitation Checklist ID 4 Facilitation Checklist pdf MN Participant Evaluation of a Facilitated IEP IFSP IIIP Meeting MN 11 FIEP Participant Evaluation 6 2012 pdf Sample Forms IA AEA Resolution Request Form IA 158 Parent Request for Resolution Facilitator 8 11 pdf ID Facilitation Log Form ID 2 Facilitation Log Form pdf IEP Facilitation Intake Form Synthesized from Others Facilitated IEP Meeting Intake Form5 17 12 pdf LAUSD Request for Informal Dispute Resolution LAUSD 5 Informal Dispute Resolution Request FormREV2012 pdf MN Agreement to Participate in a Facilitated Education Planning Meeting MN 10 Agreement2Participate2012 pdf MN Request for Facilitated IEP IIIP IFSP Meeting MN 13 Req 4 FIEPJune2012 pdf MS Request for Special Education Individualized Education Program Meeting Facilitator MS 4 Request Special Education Team Meeting Faciliator updated may 2013 pdf NC FIEP Request Form NC 25 fiep request form JUL13 pdf ND Request for a Facilitated IEP Meeting 2006 ND 4 Request form FIEP meeting pdf NY Agreement to Participate in IEP Facilitation NY 11 FacilitationAgreementForm pdf NY Agreement to Participate in IEP Facilitation Spanish NY 12 SpanishFaciltationAgreementform8 6 14 003 pdf NY IEP Facilitation Request NY 9 IEPFacilitationRequestForm pdf NY IEP Facilitation Request Spanish NY 10 SpanishIEPrequestform11 24 15 pdf OH Agreement to Facilitated IEP Meeting OH 1 Agreement to a Facilitated IEP Meeting pdf OH Direct Request for Mediation or Facilitation OH 15 DirectRequestFacilitationMediation2015 pdf OR IEP Facilitation Request Form OR 2 fiep request form 2012 pdf PA IEP Facilitation Request Form PA 80 IEP Facilitation Request Form2014 pdf PA Part C IFSP Request Form PA 86 IFSP Facilitation Request Form pdf Request for Facilitated IEP Request Facilitated IEP Meeting5 11 12 pdf SC Facilitated IEP Participation Agreement Form SC 5 Facilitated IEPParticipation Agreement

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    Sessions Data Collection CT 2 Resolution Sessions Data Collection pdf FL Resolution Session Report FL 1 Due Process Resolution Report pdf IA Resolution Meeting Documentation for Iowa Dept of Education IA 114 Resolution Meeting Documentation form November 21 20061 pdf ID Resolution Session Tracking Form ID 10 ResolutioSessionTrackingForm pdf IL Resolution Session Tracking Form IL 3 SEDS Form ResolutionTrackingForm pdf KS Due Process Resolution Session Tracking Form KS 12 ResolutionTrackingFormOCT2013 pdf KS Expedited Resolution Session Tracking Form KS 13 ExpResSessionTrackingOCT2013 pdf RI Resolution Session Reporting Form RI 15 Resolution Sess Reporting Form pdf Sample Forms Process AK Sample Resolution Session AK 4 Resolution Session pdf AZ Due Process Resolution Agreement Form AZ 14 DueProcessResolutionAgreementJAN2010 pdf DC Resolution Period Disposition Form DC 4 Resolution Period Disposition Form 3 2012 pdf IA Resolution Agreement Template with Example IA 155 Sample Resolution Agreement Template with Example pdf IA Sample Agreement to Hold Resolution Meeting IA 154 Sample Agreement to Hold Resolution Meeting Iowa 1 FEB2010 pdf IA Legally Binding Resolution Meeting Agreement Form IA 112 2 Resolution Agree template revised 7 07 07 pdf IL Require Resolution Meeting Session Information IL 1 SEDS Form Resolution pdf NC Resolution Meeting Form NC 11 Resolution

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  • Exemplar Item Groupings
    16 2007mediation request pdf ND Request for Mediation ND 2 Request for Mediation6 07 pdf NH Request for Mediation NH 17 Request for Mediation pdf NM District Mediation Request and Agreement to Mediate Spanish NM 15 PETICIÓN POR MEDIACIÓN pdf NM School Agreement to Mediation Request for Mediation NM 14 SCH0OL AGREEMENT PDF OH Direct Request for Mediation or Facilitation OH 15 DirectRequestFacilitationMediation2015 pdf PA Mediation Request Form PA 132 Mediation Request Form 2014 pdf PA Spanish Mediation Request Form PA 132 2 SpanishMediation Request Form 2014 pdf UT Parent Request for Mediation UT 9 mediationrequest pdf WA Part C Dispute Resolution Request Form WA 1 Part C DR Request Rev2012 pdf WI Online Mediation request form WI 85 2 request for mediation10 1 12 pdf WI Part C Request for Mediation Form WI 131 Part C request for mediationFEB2013 pdf WI Spanish Part C Request for Mediation Form WI 133 SPANISH Request for Mediation Form pdf WI Spanish Request for Mediation Form WI 29 SPANISH Request for Mediation Form Update 10 1 12 pdf Website AR Request for Mediation IEP Facilitation Online Submission http ualr edu law request for mediationiep facilitation Sample Participation Agreements AZ Agreement to Mediate AZ 3 Agreement to Mediate pdf BIE Parent Agreement to Mediate BIE 4 Parent Agreement to Mediate pdf BIE School Agreement to Mediate BIE 6 School Agreement To Mediate And Request For Mediation pdf CO Voluntary Agreement to Mediate CO 2 Voluntary Agreement to Mediate pdf IA Agreement to Mediate Form IA 7 Agreement to Mediate 3 31 06 pdf IA Legally binding mediation agreement form IA 45 1 Legally binding mediation agreement form pdf IN Agreement to Mediate IN 2 Agreement to Mediate pdf KS Agreement to Mediate KS 1 Agreement to Mediate OCT2013 pdf MN Agreement to Mediate MN 1 Agmt2med pdf NC Agreement to Mediate NC 1 Agreement to Mediate pdf NH Agreement to Mediate NH 1 Agreement to Mediate Rev 2012 pdf OK Parent Agreement to Mediate and Request for Mediation parent initiated OK 47 ParentAgreeMediate SpEd pdf OK School Agreement to Mediate and Request for Mediation school initiated OK 45 SchoolAgreeMediateUpdated2013 pdf PA Agreement to Mediate Form for Parent PA 125 Agreement to Mediate Confidential Clause Dec 2010 pdf WI Agreement to Participate in Mediation Form WI 39 Agreement to Mediate FEB2014 pdf WI Spanish Agreement to Mediation WI 127 SPANISH Agreement to Mediate 1 30 12 pdf Sample Authorization to Commit Resources Forms NH Authorization to Commit Resources NH 2 Authorization to Commit Resources pdf PA Authorization of Resources Form PA 127 Authorization of Resources Form Superintendent Authorizing pdf PA Authorization of Resources Form Verbal Authorization PA 128 Authorization of Resources Form Verbal Authorization pdf PA Signed Assurance by Administrator of Ability to Commit Resources PA 161 Authorization of Resources Form Chief County MH MR Attending pdf PA Signed Authorization to Commit Resources for Administrator PA 159 Authorization of Resources Form Agend Adm pdf PA Verbal Authorization to Commit Resources for Administrator PA 160 Authorization

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