Contact Information
Wyoming State Model Forms
General Forms
- G-1 Notice of Team Meeting PDF MS Word Spanish
- G-2 Prior Written Notice PDF MS Word Spanish
- G-3 Manifestation Determination PDF MS Word Spanish
- Notice of Procedural Safeguards Rev. 2021 English Spanish
Evaluation Forms
- E-1 Referral Form Special Education PDF MS Word Spanish
- E-2 Prior Written Notice and Consent for Evaluation PDF MS Word Spanish
- E-3 Evaluation Report and Eligibility for Determination PDF MS Word Spanish
- E-A Documentation of Eligibility – Autism PDF MS Word Spanish
- E-CD Documentation of Eligibility – Cognitive Disability PDF MS Word Spanish
- E-DB Documentation of Eligibility – Deaf-blindness PDF MS Word Spanish
- E-DD Documentation of Eligibility – Developmental Delay PDF MS Word Spanish
- E-ED Documentation of Eligibility – Emotional Disability PDF MS Word Spanish
- E-HI Documentation of Eligibility – Hearing Impairment Including Deafness PDF MS Word Spanish
- E-MD Documentation of Eligibility – Multiple Disabilities PDF MS Word Spanish
- E-OHI Documentation of Eligibility – Other Health Impaired PDF MS Word Spanish
- E-OI Documentation of Eligibility – Orthopedic Impairment PDF MS Word Spanish
- E-SL Documentation of Eligibility – Speech or Language Impairment PDF MS Word Spanish
- E-SLD Documentation of Eligibility – Specific Learning Disability PDF MS Word Spanish
- E-TBI Documentation of Eligibility – Traumatic Brain Injury PDF MS Word Spanish
- E-VI Documentation of Eligibility – Visual Impairment Including Blindness PDF MSWord Spanish
IEP Forms
- Special Education Checklist PDF MSWord Spanish
- I-1 Consent to Invite Transition Agencies PDF MS Word Spanish
- I-2 Excusal of an IEP Team Member PDF MS Word Spanish
- I-3 Prior Notice and Consent for Initial Services PDF MS Word Spanish
- I-4 Individualized Education Program PDF MS Word Spanish
- I-4a Measurable Goal Page IEP PDF MS Word Spanish
- I-4b Supplementary Services Page PDF MS Word Spanish
- I-5 IEP Amendment PDF MS Word Spanish
- I-6 Summary of Performance PDF MS Word Spanish
- I-7 Revocation of Consent for Special Education and Related Services PDF MS Word Spanish
Dispute Resolution Forms
- Agreement to Mediate
- Due Process Hearing Request
- Request for Mediation
- State Complaint Request
- Agreement to Mediate – Spanish
- Due Process Hearing Request – Spanish
- Request for Mediation – Spanish
- State Complaint Request – Spanish
Miscellaneous