Butte County SELPA Forms

TABLE OF CONTENTS:  Click on form names to access:

Assessment / Referral Forms  (*SCIA Forms- See below)

Behavior Forms          *Powerpoint presentation: BER & BIR Forms

Behavioral Health- Day Treatment & 26.5 Referral Forms   

ERMHS PROGRAM (Educationally Related Mental Health Services)

CAHSEE Documents / Information

IEP Forms -English              IEP Manual 10-11

IEP Forms-Spanish

IEP Miscellaneous          06-07 CASEMIS Service Codes 

Low Incidence Forms  

Miscellaneous

NPS/NPA Contract & Forms

Request for Pre-referral Counseling   

SCIA: Special Circumstance Instructional Assistance Forms

SEACO:  Instructional Thematic Unit Format -PRINT
              Instructional Thematic Unit Format -ONLINE

SELPA PWN (Prior Written Notice Forms)  *in addition to IEP PWN Form.

SELPA Request for Student Placement Outside District of Residence 

SESR Documents (Special Education Self Review) 2010-11

BUTTE COUNTY CHILD WELFARE AND ATTENDANCE

SB1327 Suspension/Expulsion Reporting for 504 and Special Education

 

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