Free 51671.FH11 - Indiana

TRANSITION MEETING NOTIFICATION
State Form 51671 (R3 / 3-07) / BCD 0104

Date (month, day, year)

Name of parent / legal guardian

Address (number and street, city, state, and ZIP code)

Dear_____________________________________, Your child, _________________________ _________________________has been scheduled for a transition meeting
First name Last name

on __________________. This meeting will be at ______________________________________ at __________
Date (month, day, year) Location Time

AM

PM.

The purpose of this meeting is to review your childs program options and develop a plan for transition. As we have discussed, the following individuals have been invited to this meeting. _____________________________ Service Coordinator _____________________________ Local Education Agency Representative _____________________________ Head Start Representative _____________________________ Other _____________________________ Therapist _____________________________ Therapist _____________________________ Therapist _____________________________ Therapist

Your rights and personal safeguards are enclosed. You are urged to participate as a member of the team during all discussions. You may also bring other individuals to this meeting. If you have any questions or if this time is not convenient for ( ) you, please call me at ________________________. Thank you for your time.
Telephone number

Sincerely, Service Coordinator PROVIDERS: This letter serves as your written invitation to participate in the transition meeting noted above.