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Get WI ELG-OHI-001 2009-2024

Sist school district individualized education program (IEP) teams in determining if a student appropriately can be determined to have an impairment under Chapter 115, Wis. Stats., and the eligibility criteria established in PI 11.36, Wis. Admin. Code. The IEP team should complete this form to document determination of eligibility for special education services and keep it on file with the student record. Date of Eligibility Determination Student Name Criteria for impairment in the area of othe.

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