FLORIDA DEPARTMENT OF EDUCATION
Office of Independent Education and Parental Choice
PUBLIC SCHOOL DISTRICT PARENTAL NOTIFICATIONS
Notification Verification Form
District:
__________________________________________________________________________
Number of ESE Students in District:
__________________________
SECTION I - April 1
st
Notification Requirement
1.
How did you notify parents by April 1
st
of this year?
Please check all methods that were used.
Letter/Postcard in Mail
Newsletter/Flyer Sent Home with Students
Telephone Call
Electronic Message or Website
(may only be used
Other (please specify): ________________________________________________________
2. How many parents did you notify?
_______________________
3.
What date(s) were the notifications distributed?
_______________________________________
SECTION II – IEP Notification Requirement
1. How do you notify parents after an Individual Education Plan Meeting?
Letter/Postcard in Mail
Newsletter/Flyer Sent Home with Students
Telephone Call
Electronic Message or Website
(may only be used
in conjunction with another method)
Brochure/Letter Provided to Parent During the IEP Meeting
Other (please specify): _________________________________________________________
SECTION III – Contact Information and Signature
Please provide the name of the person who will be assisting parents with the John M. McKay
Scholarships for Students with Disabilities Program option. Contact information for this person will be
listed on the School Choice website for parents.
Scholarship Contact Name Email Address Phone
Signature
Title
Date
By my signature below, I verify that our district has complied with the parental notification requirements of
Section 1002.39(5)(a), Florida Statutes.
__________________________________________
___________________________
District ESE Director’s Signature Date
By Friday, April 11, 2008,
please sign and fax this form to the Office of Independent Education
and Parental Choice to the attention of Tera Quillen at
(850) 245-0875.
