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Belleville Area Special Services Cooperative

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Governing Board
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AAC/AT Department
Crisis Prevention (CPI)

IEP Forms

IEP Form A1
IEP Form A2
IEP Form A3
IEP Form B (See document in PowerIEP)
IEP Form C
IEP Form D
IEP Form E2
IEP Form E3
IEP Form F1
IEP Form F2
IEP Form F3
IEP Form F4
IEP Form F5
IEP Form G
IEP Form H

IEP Form I
IEP Form J1
IEP Form J2
IEP Form K1
IEP Form K2
IEP Form L
IEP Form M
IEP Form O
IEP Form Q
IEP Form R
IEP Form T
IEP Form U1
IEP Form U2
IEP Form V

IEP Cover Sheet
Revocation of Consent Form     
Autism Spectrum Disorders Eligibility Considerations Form     
Delegation of Rights Form
IEP Amendment Form
Excusal of an IEP Team Member Form
Transition Agency Consent for Student
Transition Agency Consent for Parent 
Private Service Plan
Notice of Procedural Safeguards with PUNS and ABLE docs - New June 2023

Find Us

Belleville Area Special Services Cooperative2411 Pathways CrossingBelleville, IL 62221Phone: 618-355-4700Fax: 618-355-4415

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Office Hours: 8:00 am - 4:00 pm

  • Dr. Jeff Daugherty, Executive Director

  • Program/School Sites

  • Pathways Elementary - 100 Andora Dr, Belleville Pathways Middle School - 2383 Pathways Crossing, Belleville Pathways High School - 2401 Pathways Crossing, Belleville Freeburg Elementary - 408 S. Belleville St., Freeburg Freeburg High School - 401 S. Monroe St., Freeburg Franklin Elementary - 301 North 2nd St., Belleville Wolf Branch Elementary - 125 Huntwood Rd., Swansea Grant Middle School - 10110 Old Lincoln Trail, Fairview Heights PALS House - 205 West B Street, Belleville

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