Section and Fields in the Notice of Action form

Student information

The following table outlines the details of all the fields required to build a Student Profile.

Field name	Description	Is the field editable?	Is the field mandatory?	Data flow (From Profile)	Data flow (To Profile)	Data Source and Field Name
Student Name	Name of the student for whom the meeting has been called.	No.	Yes	Student Information	None	Populated from Student Profile. Captured through the {StudentName} field.
ID	Student ID as per the Student Information System records.	No.	Yes	Student Information	None	Populated from Student Profile. Captured through the {stateid} and {ID} field.
Date of Birth	DOB of the student as per the Student Information.	No.	Yes	Student Information	None	Populated from Student Information Profile. Captured through the {DOB} field.
Age	Displays the student’s age based on the Date Provided. Visible only when the staff enters a Date Provided.	No	Yes	None	None	Calculated as per the current date and DOB. Captured through the {AgeAsofNOA} field.
Grade	The academic grade the student is enrolled in or would be enrolled in.	No	Yes	Student Information	None	Populated from Student Profile. Captured through the {Grade} field.
School/Site	The name of the School the student is enrolled in or would be enrolled in.	No	Yes	Student Information	None	Populated from Student Profile. Captured through the {School} field.
Parents/Guardian	The name of the Parents/Guardian of the student. Note: This field is displayed only when the Receive letters is selected.	No	Yes	Student Information	None	Captured through the {StudContactCalc} field.
Date Provided	The date on which the NOA was handed over to the student's Parents/Guardian. Note: This date cannot be a future date.	Yes	Yes	N.A.	Special Ed Profile, Special Ed Exit Date	A formula sets the Special Education Exit Date based on the student’s situation: If there’s parental agreement, the exit date is the DateProvided. If there’s no parental agreement, the exit date is 7 days plus the Date Provided. For initial placement refusals or no responses, age and grade conditions further determine applicability. The SpEdExitReason formula categorizes the student’s exit from Special Education into specific reason codes, depending on whether the scenario involves graduation, dismissal, or initial placement refusal. It determines the date of consent for re-evaluation when the re-evaluation process is initiated and consent is granted. The ConsentReEvalDate field captures the ConsentDate only when a re-evaluation has been initiated (ReevalCB = True) and parental consent has been granted.
Method of Provision	The method through which the NOA was handed over to the Parents/Guardian. Note: At least one checkbox must be checked. Although both can also be checked.	Yes	Yes	N.A.	N.A.	Based on the option selected for this field, the response is captured by one of the following fields accordingly. {InPersonCB:O"Method"} {ByMailCB:O"Method"} {EMailCB:O"Method"}

Actions being taken

In this section, you capture the action(s) being proposed to be taken or the action being refused by our district.

At least one checkbox must be checked. Although both can also be checked.

This section has two lists. You can select one or more options from each of the lists.

At least one checkbox in either A or B must be checked for a document to be valid.
You can also check items in both A and B.

Box A: Consent is REQUIRED for these actions to be carried out:

The following table explains the cross-linking and functionality of the checkboxes, detailing how they interact when one is selected.

	Initial evaluation	Initial placement	Reevaluation (With Assessment)	Comprehensive Evaluation	Specialized Evaluation	Other (specify)	Temporary placement	Other (specify)
Initial evaluation	N.A.	✔️	❌	❌	❌	✔️	✔️	✔️
Initial placement	✔️	N.A.	❌	❌	❌	❌	❌	✔️
Reevaluation (with assessment)	❌	❌	N.A.	✔️	✔️	✔️	❌	❌
Comprehensive Evaluation	❌	❌	✔️	N.A.	✔️	❌	❌	❌
Specialized Evaluation	❌	❌	✔️	✔️	N.A.	❌	❌	❌
Other (specify)	❌	❌	✔️	❌	❌	N.A.	❌	❌
Temporary placement	❌	❌	❌	❌	❌	❌	N.A.	❌
Other (specify)	✔️	✔️	❌	❌	❌	❌	❌	N.A.

Box B: Consent is NOT REQUIRED for these actions to be carried out:

The following table explains the cross-linking and functionality of the checkboxes, detailing how they interact when one is selected.

	Ineligibility for services	Change in eligibility	Change of placement	Provision of FAPE	Graduation with regular diploma	Dismissal from Special Education Services	Disciplinary Removal	Other (specify)
Ineligibility for services	✔️	✔️	✔️	✔️	❌	❌	✔️	✔️
Change in eligibility	✔️	N.A.	❌	❌	❌	❌	❌	✔️
Change of placement	❌	❌	N.A.	✔️	✔️	✔️	❌	❌
Provision of FAPE	❌	❌	✔️	N.A.	✔️	❌	❌	❌
Graduation with regular diploma	❌	❌	✔️	✔️	N.A.	❌	❌	❌
Dismissal from Special Education Services	❌	❌	✔️	❌	❌	N.A.	❌	❌
Disciplinary Removal	❌	❌	❌	❌	❌	❌	N.A.	❌
Other (specify)	✔️	✔️	❌	❌	❌	❌	❌	N.A.

Consent Granted for Action to Take Effect Immediately

Select the checkbox “Parent agreed to immediate implementation of the action being proposed” if the parent or Guardian has Consent Granted for the Action to Take Effect Immediately.

Detailed response questions

Answer the following questions in a long text.

Question Title	Description	Is the field editable?	Is the field mandatory?	Data flow (From Profile)	Data flow (To Profile)	Data Source and Field Name
Explanation of Action	The reason(s) for the proposal or refusal	Yes	Yes	N.A.	N.A.	Captured through the {ActionExplanation} field.
Basis for the Action	A listing or attached description of each evaluation procedure, assessment, record, or report used as a basis for the action	Yes	Yes	N.A.	N.A.	Captured through the field {ActionBasis} field.
Options Considered and Reasons Rejected	Option(s) considered by the IEP team and reason(s) for rejection	Yes	Yes	N.A.	N.A.	Captured through the {ConsOptionsRejReasons} field.
Other Factors Relevant to the Action		Yes	Yes	N.A.	N.A.	Captured through the {OtherFactors} field.

The response to the three long text sections can be captured in two ways:

Rich text formatted in the textbox provided alongside the field.
- The rich-text feature also supports Spell Checker ( ) on the inserted text.
Voice-over narration captured as written text by clicking on the Speak Text Icon ( ).

This section has an acknowledgement statement, which requires a signature by at least one of the parents or Guardians or Others.

This section captures the name of the signer, the signature, and the date on which the acknowledgement was signed.

Field name	Description	Is the field editable?	Is the field mandatory?	Data flow (From Profile)	Data flow (To Profile)	Data Source and Field Name
Parent/Guardian Signature	The selection of whether the Parent or Guardian is signing.	Yes	Yes. Choice is Conditional	N.A.	N.A.	Captured through the {ParentESign:S} field.
Student Signature	The student can sign, but only once they’ve reached the age of majority under Arkansas state law (18 years) and are not legally incompetent.	Yes	Yes. Choice is Conditional	N.A.	N.A.	Captured through the {StudESign:S} field.
Other	Acknowledgment or consent signatures can also come from: A Surrogate Parent. An Adult Student’s Legal Representative. Agency Representative (for documentation only).	Yes	Yes	N.A.	N.A.	Captured through the {OtherSignerESign:S} field.
Date	The date and time stamp when the document was signed.	Yes	Yes	N.A.	N.A.	Based on who signed the document, the date of signing is captured accordingly by one of the following fields: {ParentSignedDat} {StudSignedDate} {OtherSignerSignedDate}

Procedural Safeguards

This section provides the names of people the parents can contact if they need assistance in understanding the provisions of the procedural safeguards.

The school or district authorities creating this document can add up to two names of such individuals, along with Phone numbers and email addresses, using the Lookup or Non-Lookup functionality.

Field name	Description	Is the field editable?	Is the field mandatory?	Data flow (From Profile)	Data flow (To Profile)	Data Source and Field Name
Name	Name of the first SPOC for Procedural Safeguard as mentioned in the Globals Profile.	Yes	Yes	Globals Profile	N.A.	Captured through the (ProcSafeLK) field. It is fetched via api:getStaffPosition function.
Phone Number	The Phone Number of the person mentioned in the previous field.	Yes	Yes	Globals Profile	N.A.	Captured through the (SafeProcTelNL} field.
Email	The Email contact of the person mentioned in the previous field.	Yes	Yes	Globals Profile	N.A.	Captured through the {ProcSafeMailNL} field.
Name (2)	Name of the second SPOC for Procedural Safeguard as mentioned in the Globals Profile.	Yes	Yes	Globals Profile	N.A.	Captured through the (ProcSafeLK) field. It is fetched via api:getStaffPosition function.
Phone Number (2)	The Phone Number of the person mentioned in the previous field.	Yes	Yes	Globals Profile	N.A.	Captured through the (SafeProcTelNL} field.
Email (2)	The Email contact of the person mentioned in the previous field.	Yes	Yes	Globals Profile	N.A.	Captured through the {ProcSafeMailNL} field.

For Office Use Section

This section captures the Delivery status and response status on the specific document under which it is added.

The fields in this section, however, are consistent across all documents and are explained here.

Field Name	Description	Is the field editable?	Is the field mandatory?	Data flow (From Profile)	Data flow (To Profile)	Data Source and Field Name
Date of Delivery	The date on which the document was sent or handed over to the parent.	Yes	Yes	Document Delivery Profile		Captured through the {DateOfDelivery} field.
Mode of delivery	One is required. However, you can select more than one.	Yes	Yes	Document Delivery Profile		Captured through the {ModeOfDelivery} field. The keywords for the modes are as follows: Emailed (EMAIL) Fax (FAX) Given to Parent at Home Visit (GPHV) Given to Parent at the Meeting (GPM) Given to Student (C7) Mailed (MAIL) Other (Other) Parent Office Visit (POV) Sent via Student (STU)
Consent Response	Required only for Box A items. If only Box B. is checked, then the field is NOT displayed.	Yes	Conditional	N.A.	Referral profile {ParentsResponseToEvaluate) Special Education Info Profile {SpecialEdExitDate}	Captured through the {ConsentResponse} field.
Consent Date	This field is visible only when you have selected “Granted” from the Consent Response drop-down. Note: The consent date cannot be earlier than the date the document was sent to the parent or guardian.	Yes	Conditional	N.A.	Referral profile based on checkboxes selected in Box A.	Captured through the {ConsentDate} field.

Once the NOA Document is finalized, the program creates the following 2 documents:

An IEP Document, if Consent Response = Granted AND when the user opts for Initial placement OR Temporary placement checkbox
An EPC Document, if Initial evaluation checkbox AND Consent Response = Granted

Data Flow 

Upon finalization of the document, the following data flow occurs:

Details	To Profile

Student information

Actions being taken

Detailed response questions

Informed Consent

Procedural Safeguards

For Office Use Section

Data Flow

Data Flow 