South East Consortium for Special Education                                       Special Education Local Plan Area
  
 
                                    


Low Incidence

Through a special State fund, the SELPA is provided limited funds each year for specialized equipment,  for eligible low incidence pupils. The funds are provided based on the low incidence pupil count on December 1 each year. Students whose primary or secondary disability is hard of hearing, deaf, deaf/blind, visually impaired, or orthopedic impairment are eligible for low incidence equipment and services and generate low incidence funding.

When requesting Low Incidence equipment and materials, please make sure the following items are submitted in order to begin the review process:

1. Low Incidence Requisition Form thoroughly filled out with Vendor information, price, and model/part number. Incomplete requests will be returned. The form must be signed by the Special Education Director.

2. Current report from an appropriate and qualified professional with specific recommendations pertaining to the need for low incidence equipment based on the student need (i.e. Audiologist, Vision Specialist, ACC Specialist, Physical Therapist, etc.)

3. Student’s current IEP which should include:
   >Form 1 indicating the Low Incidence disability
   >Form 4 with current goal/s that link to the need for low incidence equipment and materials
   >Form 6 Signature page
   >Form 7 Notes page (as appropriate)


Please send all documents to selpa_lowincidence@mpesd.org or fax them to 408-532-9311

Note: The submission of all documents does not guarantee approval. The SELPA Director will review the request. The District Special Education Director will be contacted for denied requests. Approved requests will be processed and purchased following Mt. Pleasant Elementary School District’s (MPESD) procedures.

Low Incidence Documents
Guidelines

Checklist

Fillable Form: This form cannot be saved, please print to obtain the appropriate signature and submit the signed form and necessary documents to selpa_lowincidence@mpesd.org

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