Special Education and Related Services Grid
In Connecticut’s IEP form, the student's service hours grid will be in a section labeled Special Education and Related Services. It will record the:
- Service
- Goal (by numbers)
- Frequency (how many times)
- Duration (for how long)
- Responsible staff
- Service implementer (by role)
- Start and end dates
- Site (where your child will receive their services)
- Instructional service delivery
Extended School Year (ESY) services will have their own grid, if your child
is eligible for ESY.
*Instructional Site Codes:
1a. General Education Setting 50% or more non-disabled peers
1b. General Education Setting less than 50% non-disabled peers
2a. Resource Setting
2b. Separate Setting/Program
2c. Related Service Setting
3a. Community-Based Setting 50% or more non-disabled peers
3b. Community-Based Setting less than 50% non-disabled peers
There will be a key at the bottom of the page to help indicate where
the services will be delivered. The service hours and sites in this grid
will determine the student’s Time With Non-Disabled Peers (TWNDP). This
will be recorded in the IEP section called Removal from the General
Education Environment.
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Service Grid PDF
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For more detailed information on Related Services, please click here.
