RtI Tiers Checklist
Teacher and Parent Actions at Tier 1
Actions at Tier 2
 Teacher Contacts Parent
For Behavior Concerns:
 Brief FBA (O-RtI-06)
 Collect Baseline Data (e.g. O-RtI-09d, behavior report card)
Remainder is for academic and behavior concerns:
 RtI student folder is developed with all applicable data
 S-BIT meets
 Hold Parent / Teacher Conference
 Discuss performance and develop a plan to address areas
of concern (O-RtI-01)
 Provide any materials to parents for home intervention plan
 Implement Tier 1 intervention plan for at least 15 school
days
 Gather performance data
 Hold 2nd Parent / Teacher Conference and Review
effectiveness of Tier 1 intervention plan (O-RtI-01)
(Send home O-RtI-02 with RTI flyer. Keep a copy of
O- RtI-02 for purple student file)
 Develop Tier 2 Intervention Plan (O-RtI-05)
 Hold third Parent / Teacher Conference (O-RtI-01)
(Use O-RtI-04 if needed)
 Provide any materials to teacher and/ or parents needed
for intervention plan
 Implement Tier 2 intervention plan for as long as appropriate,
collect progress monitoring data on the O-RtI-14.
 Graphically document progress during intervention
Decision Making by Teacher and Parent at Tier 1
 Complete fidelity tool (S-BIT determines appropriate tool)
 Intervention plan successful
 Review effectiveness of Tier 2 intervention plan
 Revise and/or continue Tier 1 intervention plan
Decision Making S-BIT
 Intervention plan unsuccessful: Refer to S-BIT (O-RtI-03)
 Tier 2 intervention plan successful: Return to Tier 1
 Revise and/or continue Tier 2 intervention plan
 Insufficient data gathered: continue Tier 2 intervention plan
 Move to Tier 3
S-BIT Actions during Tier 3
S-BIT Member(s) Responsible
 Schedule student for discussion S-BIT meeting (O-RtI-03 if not previously completed)
S-BIT Chair
 S-BIT Chair ensures all Tier 1 and 2 paperwork and procedures are complete
S-BIT Chair
 Tier 3 paperwork is added to RtI folder
S-BIT Chair
 Complete at least 1 Classroom Observation (O-RtI-12 or O-RtI-13)
S-BIT Member
 Parents are invited (O-RtI-04)
S-BIT Chair
 Complete Student Information (O-RtI-07; For Behavior include O-Rti-09b, c and d)
S-BIT Chair & Case Manager
 S-BIT meets
S-BIT Chair
 S-BIT reviews student information and progress monitoring data
S-BIT Chair
 Develop Tier 3 intervention plan (O-RtI-08; For Behavior include O-RtI-09 & O-RtI-10)
S-BIT
 Provide any materials needed for intervention plan to teacher and/or parents
S-BIT Case Manager
 Implement Tier 3 intervention plan for 20 – 30 school days before next S-BIT review
S-BIT Case Manager
 Document and graph data using the O-RtI-14 & Excel. For behavior, use method
selected by S-BIT & graph data(e.g., CBM, point card, BRS (O-RtI-10b), etc.)
S-BIT Case Manager
 Complete fidelity tool (S-BIT determines appropriate tool)
S-BIT Member
 S-BIT Chair schedules student for discussion at team meeting to review effectiveness
of Tier 3 plan
S-BIT Team Chair
Decision Making by S-BIT
S-BIT Member(s) Responsible
 S-BIT intervention plan successful: Return to Tier 2 or Tier 1
S-BIT Case Manager
 Not enough data gathered: Continue Tier 3 intervention plan
S-BIT Case Manager
 Revise and continue Tier 3 intervention plan
S-BIT Case Manager
 Schedule S-BIT meeting with school psychologist
S-BIT Chair
 Move to referral for evaluation for special education eligibility (O-RtI-11)
Refer to ESE Referral Checklist
S-BIT Case Manager
Rev. 3/10