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LOS ANGELES UNIFIED SCHOOL DISTRICT POLICY BULLETIN ATTACHMENT A Prior Written Notice Regarding Parent Request to Revoke Consent for the Continued Provision of Special Education and Related Services
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How to fill out prior written notice regarding

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How to fill out prior written notice regarding:

01
Start by clearly indicating the purpose of the prior written notice. State the date and the name of the individual completing the form.
02
Provide detailed information about the student who is the subject of the notice. Include their name, date of birth, and any relevant identification numbers or codes.
03
Specify the date on which the notice is being sent and the date on which the proposed action or change is expected to go into effect.
04
Clearly describe the action or change that is being proposed. Use specific and concise language to explain the nature of the proposed action and its potential impact on the student.
05
Include references to any relevant laws, regulations, or policies that are applicable to the proposed action. This will help ensure that all necessary legal requirements are met.
06
Provide a thorough explanation of the reasons for the proposed action or change. Use evidence and examples to support your rationale and demonstrate that the decision is based on the student's individual needs.
07
Clearly communicate the options available to the parents/guardians and the student regarding the proposed action. Include information about alternative services or placement options, if applicable.
08
Provide contact information for the person responsible for overseeing the proposed action or change. Include their name, title, phone number, and email address to facilitate communication.
09
Finally, conclude the prior written notice by stating that the parents/guardians have the right to request a meeting or file a complaint if they disagree with the proposed action. Encourage them to contact the appropriate individuals or agencies to exercise their rights.

Who needs prior written notice regarding:

01
Parents or legal guardians of students with disabilities who have an Individualized Education Program (IEP) typically need prior written notice regarding any proposed changes to the student's educational program or services.
02
School administrators and educators involved in the decision-making process regarding the proposed action or change also need prior written notice to ensure transparency and compliance with the law.
03
Other relevant parties, such as special education advocates or attorneys representing the student or their family, may also require prior written notice to stay informed and provide appropriate support or guidance.
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