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

Miscellaneous  

Accommodations-Modifications -ONLINE  

Accommodations-Modifications -PRINT  

Educational Representative Form

Extension of Timeline Request -ONLINE  

Extension of Timeline Request -PRINT  

IEP Meeting Notice-ONLINE  

IEP Meeting Notice-PRINT  

IEP Process Monitor -ONLINE  

IEP Process Monitor -PRINT  

Interim Placement -ONLINE     *SAMPLE: Interim Placement

Interim Placement -PRINT 

Interim Placement-FFH -PRINT  *For students in out-of-home placement

Interim Placement-FFH -ONLINE  *For students in out-of-home placement

ISP-Individual Service Plan -ONLINE 

ISP-Individual Service Plan -PRINT  

ISP-Individual Service Plan -PDF

ISP-Annual Parent Letter 

ISP-Annual Parent Letter -EXAMPLE

ISP-Notification of Parent Intent -ONLINE

ISP-Notification of Parent Intent -PRINT

ISP-Private School Consultation Log

Notice of Refusal -ONLINE       *SAMPLE: Notice of Refusal for Identification

Notice of Refusal -PRINT        *SAMPLE: Notice of Refusal-Placement or FAPE

Surrogate Parent Appt-ONLINE  

Surrogate Parent Appt-PRINT

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