Sections and Fields in the IEP Teams Signature form

Student Name

Name of the student for whom the meeting has been called.

No

Yes

None

Populated from Student Information Profile.
Captured through the {StudentName} field.

ID

Student ID as per the Student Information System records.

No

Yes

None

Populated from Student Information Profile.
Captured through the {Stateid} or {ID} field.

Meeting Date

No

Yes

None

Populated from Student Information Profile.
Captured through the {IEPMeetingDateAnnual} field.

Amendment Date

Populated from Student Information Profile.
Captured through the {IEPMeetingDateAmend} field.

Parent(s) received Parent Survey

Choose between the 3 options

• Yes

• No

• N.A.

Yes

Yes

Captured through the {ParentSurveyCB} field.

Parent was provided a copy of the IEP

Choose between the 3 options

• In Person

• By Mail

• E-mail

Yes

Yes

Captured through one of the following fields based the selction made:

• {IEPCopy_InPersonCB}

• {IEPCopy_ByMailCB}

• {IEPCopy_EMailCB}

Parents / Guardian

• You can add multiple entries under the heading ‘Parents or Guardians’.

• To add an additional entry, click the icon and a new row will appear.

Yes

Yes

Student Contacts profile

Document Delivery Profile

Student

Captured through the {StudentName},
{StudentESign}, and
{StudentDate} fields.

Special Education Teacher

• Use Lookup or Non-Lookup to select the Special Education Teacher from the Staff Profile.

• After selection, the teacher must sign the document. The system records their signature, date, and time stamp.

Yes

Yes

Staff Profile

N.A.

Captured through the {SETeacher},
{SPEDTeacherESign}, and
{SpecialEdTeacherDate} fields.

General Education Teacher

• Use Lookup or Non-Lookup to select the General Education Teacher from the Staff Profile.

• After selection, the teacher must sign the document. The system records their signature, date, and time stamp.

Yes

Yes

Staff Profile

N.A.

Captured through the {GETeacher}, {GEEDTeacherESign}, and
{GeneralEdDate} fields.

Local Education Agency Representative

• Use Lookup or Non-Lookup to select the LEA Representative from the Staff Profile.

• After selection, the representative must sign the document. The system records their signature, date, and time stamp.

Yes

Yes

Staff Profile

N.A.

Captured through the {LEARep}, {LEARepESign}, and {LEADate} fields.

Individuals to Interpret Instructional Implications of Evaluation Results (School psychologist, speech-language pathologist, or remedial reading teacher)

• Use Lookup or Non-Lookup to select the Interpreter from the Staff Profile.

• After selection, the interpreter must sign the document. The system records their signature, date, and time stamp.

Yes

Yes

Staff Profile

N.A.

Captured through the {Interpreter}, {InterpreterESign}, and {InterpreterDate} fields.

Others (Specify)

• Use Lookup or Non-Lookup to select any number of additional participants.

Captured through the {OtherMember}, {OtherESign}, and {OtherESignDate} fields.