Get What Is A Chapter 688 Referral For A Student

This guide provides clear and detailed instructions for completing the Chapter 688 Referral Form for students. The process is designed to help users navigate the form with ease, ensuring that all necessary information is accurately submitted.

Follow the steps to successfully complete the referral form

1. Press the ‘Get Form’ button to access the Chapter 688 Referral Form and open it in your preferred document editor.
2. Fill in the 'Date Completed' field at the top of the form. This should be the date you are completing the referral.
3. In the 'Student Information' section, provide the student's name, date of birth, sex, primary language spoken, social security number, and check whether they receive SSI/SSDI.
4. Enter the student's present address and phone number. Also, fill out the parent/guardian's name, selecting whether they are a legal guardian or not.
5. Complete the 'School District/Program Information' section by providing the school district name, final date of special education service, and the local education agency address. Include the contact person's name and phone number, as well as specific program details and type of placement.
6. Indicate all funding agencies involved in the student's services.
7. Check the appropriate boxes under 'Functional Limitations' to specify the areas in which the student demonstrates serious limitations, such as behavioral, communication, or medical.
8. Select the agency to which you are sending the Chapter 688 Referral. Only one should be selected. If necessary, specify the area office to which it is sent.
9. Authorize the release of personal information by signing and dating the authorization statement provided at the bottom of the form. Ensure you indicate if the signature is from the student (18 or over) or a legal guardian.
10. Finally, save your changes to the form, and ensure you print or download a copy for your records before mailing the original form to the appropriate agency.

Complete and submit your Chapter 688 Referral Form online today to ensure timely services for the student.