Request for facilitated IEP

A Facilitated IEP (FIEP) is an option available at the request of schools or parents/guardians for conflict prevention and resolution. This service is provided at no cost. A trained impartial professionally trained facilitator helps the case conference committee with the IEP process by keeping the meeting focused on the student, ensuring everyone at the table has a voice, encouraging active listening by all participants, helping keep team members on task and within the time allotted for the meeting, and participating as a non-committee member, which does not impose decisions on the group.

Either the parent/guardian or school corporation may initiate the facilitated IEP process by completing this form and it will be submitted to the Office of Special Education. However, both parties must agree to the IEP facilitation in order for the process to take place. If the request meets the criteria, both parties will be contacted. The Office of Special Education team will send the request to Indiana IEP TA Center. Indiana IEP TA Center will contact all parties and assign a facilitator for the case conference. In addition to this request, parties must also complete the IEP TA Center Print & Fax form. That form can be retrieved by using this link: https://www.iepta.org/images/downloads/FIEP/2023FIEPRequestForm.docx. Submit this request at least two weeks prior to the anticipated date of the case conference. For more information, please contact The Office of Special Education: spedassistance@doe.in.gov.

Requestor:

StudentParentCorporation

District/Organization*

If you selected 'Other' above, please specify.

Begin typing school name or number and select from the list.

School Name (Code)*

Begin typing school name or number and select from the list.

School Administrator Name

Administrator Phone Number

Please enter a valid phone number.

Administrator Email

example@example.com

Student Grade Level

Parent Name

First NameLast Name

Parent Phone Number

Please enter a valid phone number.

Parent Email

example@example.com

Facilitated IEP Services are for students that currently have an IEP and receive special education services: (Please check the statement below indicating your agreement.)*

The student we are requesting Facilitated IEP Services for is a student that currently has an IEP and receives special education services.

Previous actions that led to the need for a Facilitated IEP. Do not list any identifiable student information such as a name, STN, social security number, or otherwise.*

0/3000

It must be understood that using Facilitated IEP Services is a voluntary process. By filling this Jotform out you agree to the following five statements: (Please check each statement indicating your agreement.)*

We are requesting that the Indiana IEP TA Center provide a trained facilitator for the student’s upcoming case conference.We understand that if this request is accepted, there will be no cost to the parent or the school corporation.We understand that the facilitator is not a member of the IEP team.We understand that the facilitator cannot provide legal advice to any participant.We understand that we will be asked to provide feedback to the facilitator.

For a copy of the request submission, please provide your email address:

example@example.com

Request for Facilitated IEP

Corporation Information

Student and Parent Information