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Infant &
Toddler Connection of Richmond Forms
Pre-Registration
Form (PRE 07-03 A)
This
form should be completed for all infants and toddlers (birth to
three) who are deemed likely
to be found eligible for early intervention services under Part C of
the Individuals with Disabilities Education Act (IDEA).
This form is necessary to assure accuracy in the number of
infants and toddlers receiving Part C services in the city of
Richmond; to identify other public and private providers who may
also be involved with the family; and for determining the family’s
access to Part C funding.
Application
for Evaluation & Assessment and Direct Service Funds (EADS 07-03A)
Service Coordinators may use this form to request
funds for Part C evaluations and assessments and Part C direct services
in accordance with Infant & Toddler Connection of Richmond policies and procedures.
Application
for Family Support Funds (FS 07-03A)
Service Coordinators may use this form to request
funds for family support in accordance with Infant & Toddler
Connection of Richmond policies and procedures.
Application
for Conference & Workshop Funds (CWF 07-03 A)
Individuals involved in supporting the work of the Infant &
Toddler Connection of Richmond and families who have received system
services are eligible to apply for funds to support their participation
in various conferences and workshops.
State Forms and Documents
Click
here
to visit the DMHMRSAS web site's forms page. You'll find the ICDF,
prior notice and consent, notice of rights, and other related materials.
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