Suspension Documentation (Bldg. Adm.)
Used to track suspension days and required tasks for students with IEPs
Student Name:
Date of Birth: enter a date
School Year:
Checklist (Building Administrator):
 1st Day OSS
enter a date
 2nd Day OSS
enter a date enter total # of days OSS
 3rd Day OSS
enter a date enter total # of days OSS
 4th Day OSS
enter a date enter total # of days OSS
 5th Day OSS
enter a date enter total # of days OSS
 6th Day OSS
enter a date enter total # of days OSS
 7th Day OSS enter a date enter total # of days OSS
*Emailed Case Manager to complete “7th Day OSS Procedures” (see below) Choose an item.
*Case Manager to facilitate the completion of the FBA Choose an item.
*Case Manager to facilitate the completion of the BIP Choose an item.
*Case Manager to include behavior as a NEED in the IEP (can be done w/amendment) Choose an item.
*Case Manager to address behavior need by referencing BIP in IEP (can be done w/ amendment) Choose
an item.
 8th Day OSS enter a date enter total # of days OSS
 9th Day OSS enter a date enter total # of days OSS
 10th Day OSS enter a date enter total # of days OSS
*Consider alternative discipline (ISS and/or other)
 11th Day OSS enter a date enter total # of days OSS
*Building Administrator sends letter offering services (a FAPE) to student while on suspension (See Draft
letter in binder) enter a date
*Case Manager and Building Administrator complete “Discipline Review Worksheet Report” to
determine a possible pattern of removals enter a date
*If a pattern in behavior is confirmed, Case Manager and/or Building Administrator will notify Special
Education Administrator regarding need to complete MDR enter a date
*Case Manager will document days of service provided to student Choose an item.
(See “11th Day FAPE Service Documentation” form)
 All Subsequent OSS
Please send a copy of all documentation regarding Suspension and Expulsion to the Special Education Office
*Email Case Manager to complete “Subsequent OSS Procedures” enter a date
*Building Administrator sends letter offering services (a FAPE) to student while on suspension (See Draft
letter in binder) Choose an item. enter a date
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
*Case Manager to review/revise BIP enter a date
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
*Case Manager to update “Pattern of Behavior Determination Worksheet” with Building Administrator
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
*If a pattern in behavior is confirmed, Case Manager and / or Building Administrator will notify Special
Education Administrator regarding need to complete MDR enter a date
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
enter a date enter total # of days OSS
*Case Manager to document days of service provided to student (See “11th Day FAPE Service
Documentation” form) Choose an item.
Please send a copy of all documentation regarding Suspension and Expulsion to the Special Education Office