Richland Parish Schools	RC - 6
	Department of Special Services
	RE-EVALUATION / IEP CONTACT LOG
	STUDENT	SPED #:
	PARENT:	PHONE #:
	DAY / DATE	TIME	PERSON 	MODE OF 	RESPONSE	COMMENTS
	PARENT WAS INFORMED OF RIGHT TO REQUEST AN 
	ASSESSMENT REQUESTED BY PARENT:	NO	YES - AREA OF 
	MODE OF CONTACT:  T = TELEPHONE; P = IN PERSON; S = STUDENT/SCHOOL; L = LETTER
	RESPONSE:  C = CONFIRMED; N = NO RESPONSE; AM = ANSWERING MACHINE; LNR = LETTER NOT 
	                     RETURNED WITHIN 5 DAYS.
	DATE	CASE COORDINATOR'S SIGNATURE
	SIGNATURE:	TITLE:	DATE: