Santa Barbara County
Special Education Local Plan Area …….A Joint Powers Agency
Request for Program Transfers and/or Services
Activities and Timelines Checklist
Directions:
This form is to be completed by any Local Educational Agency (LEA) in Santa Barbara County Special
Education Local Plan Area (SBCSELPA) requesting to take back programs and/or services. (This includes
students previously served in a regional program.) Each step should be submitted by the due date to SBCSELPA
Director and other applicable persons as noted. Remember transfers require a year and a day notice to
SBCSELPA and this form submitted to the SBCSELPA with final plan two weeks prior to the JPA Board
meeting in November.
Name of LEA requesting program transfer and /or services:
Step 1 – Letter of Intent
Activity
1) Letter of Intent to SELPA and sending
LEA by the receiving LEA
2) Letter to include date on which the
proposed transfer will take effect
Date Due
Evidence of
Activity
Submitted
to SELPA
SELPA
Director
Initials
JPA
Board
Approval
Date
Evidence of
Activity
Submitted
to SELPA
SELPA
Director
Initials
JPA
Board
Approval
Date
Prior to the first day of
the second fiscal year
beginning after the date
on which the transfer
will take place
Comments:
Step 2 - Development of a Detailed Program Transfer Plan
Activity
1) Evidence pupil needs within the SELPA
can be met
2) Evidence availability of a full
continuum of services to affected pupils
has been considered
3) Evidence continuation of current IEPs
of affected pupils has been considered
4) Evidence provision of services and LRE
for affected pupils has been considered
5) Evidence of maintenance of all IEP
support services has been considered
6) Assurance statement that there will be
compliance with all federal and state
laws and regulations and SELPA
policies
7) Evidence parents and staff were
represented in the planning process for
both the sending and receiving LEA
8) Evidence of an agreed upon plan
between sending and receiving LEAs
for transfer of equipment
9) Proposed plan for facilities
10) Certification of the receiving LEA’s
governing board
Comments:
SELPA51 11-25-14 (E)
Date Due
Two weeks prior to the
JPA Board meeting in
November
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