Get Il Isbe 11-01 2020

The IL ISBE 11-01 form is essential for documenting incidents involving time out or physical restraint for students in Illinois educational programs. This guide provides a step-by-step approach to filling out the form online, ensuring all necessary information is accurately collected.

Follow the steps to complete the IL ISBE 11-01 form seamlessly.

1. Press the ‘Get Form’ button to access the form and open it in your document editor.
2. Fill in the student’s name, date of birth, race, gender, home school, and district. Ensure that you select the appropriate option for the serving location.
3. Indicate whether the student has an Individualized Education Program (IEP) or a 504 Plan by selecting 'Yes' or 'No' for each.
4. Document incidents that occurred. Start by noting down the details for Incident #1, filling in the date, time started, time ended, and total minutes spent in restraint or isolation.
5. For each incident, check the appropriate type of intervention: Physical Restraint, Isolated Time Out, or Time Out.
6. Provide a concise description of the events leading up to the incident, interventions used, and the incident that necessitated the restraint or time out.
7. For isolated time out, explain why a less restrictive option was not feasible and why an adult could not be present.
8. Select the type of physical restraint used, checking all that apply, and attach any behavior logs regarding the student's actions.
9. Complete the evaluation section, including assessments by certified staff and any required intervention to ensure student safety.
10. Record any injuries that occurred during the incident, noting who evaluated the injuries and any property damage if applicable.
11. Summarize any planned approaches for future behaviors, selecting relevant options such as continuing the IEP or developing a Behavior Intervention Plan (BIP).
12. Fill in the names and titles of school personnel involved in the implementation of the incident and complete the parent notification section.
13. Finally, save your changes, download a copy of the form, and consider printing the document for your records.

Complete your IL ISBE 11-01 form online today to ensure proper documentation and compliance.