Butte County Office of Education
Don McNelis - Superintendent
1859 Bird Street
Oroville CA 95965
Phone: (530)532-5650

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 *These forms are in Microsoft Word.  
 *Click on forms to access.

Assessment / Referral Forms

Assessment Plan -ONLINE  

Assessment Plan -PRINT   

Assessment Plan-SPANISH  

Autism Collaborative Referral Form - Excel format  

Autism Collaborative Referral Form - PDF format

Exchange of Information*HIPPA -ONLINE  

Exchange of Information*HIPPA -PRINT  

Exchange of Information-SPANISH  

Referral for Special Education Assess-ONLINE  

Referral for Special Education Assess -PRINT  

Triennial Evaluation Report -ONLINE  

Triennial Evaluation Report-PRINT 

Triennial Evaluation Report-SPANISH

For More Information

Butte County SELPA
1859 Bird Street
Oroville CA, 95965

Jeri Jeska, Sr. Secretary
Phone: (530) 532-5621
Fax: (530) 532-5794
Email: jjeska@bcoe.org

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