Manifestation Determination Review Form
About this free form template

Streamline Special Education Compliance with Paperform's Manifestation Determination Review Template

When a student with an Individualized Education Program (IEP) faces disciplinary action that could result in a change of placement, federal law requires a manifestation determination review within 10 school days. This critical process determines whether the student's behavior was a manifestation of their disability or resulted from the school's failure to implement their IEP properly.

Our Manifestation Determination Review Form template helps special education coordinators, school psychologists, and IEP teams conduct thorough, compliant reviews while maintaining clear documentation throughout the process.

Why Special Education Teams Choose Paperform

Managing manifestation determination reviews involves gathering input from multiple stakeholders, reviewing extensive documentation, and making time-sensitive decisions that must comply with IDEA regulations. Traditional paper forms or basic digital tools create bottlenecks, increase the risk of incomplete documentation, and make it difficult to track review timelines.

Paperform transforms this complex workflow into a structured, efficient process. The form guides your team through each required component of the review—from incident documentation and behavior analysis to IEP implementation assessment and final determination—ensuring nothing falls through the cracks during this critical compliance process.

Built for Special Education Professionals

This template is specifically designed for:

  • Special Education Coordinators managing manifestation determination timelines and ensuring IDEA compliance
  • School Psychologists conducting functional behavior assessments and analyzing disability-behavior relationships
  • IEP Teams collaborating on reviews that require input from teachers, administrators, and parents
  • School Administrators overseeing disciplinary procedures for students with disabilities
  • District-Level Special Education Directors standardizing manifestation review processes across multiple schools

Complete Documentation from Incident to Determination

The form walks your team through the entire manifestation determination process:

Student and incident information captures essential details including the disciplinary incident description, proposed disciplinary action, and whether it constitutes a change of placement under IDEA regulations.

IEP implementation review evaluates whether the student's IEP and behavioral intervention plan were implemented as written, identifying any gaps that may have contributed to the behavior.

Disability relationship assessment guides the team through analyzing whether the conduct was caused by or had a direct and substantial relationship to the student's disability.

Behavior analysis and functional assessment review examines patterns, antecedents, and whether the behavior was a direct result of the school's failure to implement the IEP.

Team member input collects perspectives from general education teachers, special education teachers, school psychologists, and parents to ensure a comprehensive review.

Final determination and next steps documents the team's decision and outlines required actions, whether that's conducting a functional behavioral assessment, revising the behavioral intervention plan, or proceeding with disciplinary measures.

Automate Your Special Education Workflows with Stepper

Manifestation determination reviews trigger multiple follow-up actions depending on the outcome. With Stepper, Paperform's AI-native workflow automation tool, you can automatically route tasks based on the review decision:

  • Send immediate notifications to parents, teachers, and administrators when a review is completed
  • Trigger different workflows depending on whether behavior was determined to be a manifestation
  • Automatically schedule FBA (Functional Behavior Assessment) meetings when required
  • Route BIP (Behavior Intervention Plan) revision requests to the appropriate team members
  • Update your student information system with review outcomes and timeline compliance data
  • Create reminder sequences for 10-day review deadlines and 45-day reevaluation windows

This automation ensures your district maintains compliance with IDEA timelines while reducing the administrative burden on your special education team.

Why Education Professionals Trust Paperform

Compliance-focused design: The form structure follows IDEA requirements for manifestation determination reviews, helping teams address all legally required elements.

Collaborative review process: Multiple team members can contribute their observations and expertise, creating a comprehensive record of the review.

Secure data handling: SOC 2 Type II compliance and GDPR adherence protect sensitive student information throughout the review process.

Professional documentation: Generate clean, organized records suitable for legal proceedings, compliance audits, and parent meetings.

Conditional logic: The form adapts based on responses—for example, showing additional questions about IEP implementation failures or requesting specific behavioral data when needed.

Integration with your systems: Connect to your student information system, Google Workspace, or other tools to sync review data and maintain centralized records.

Get Started in Minutes

Whether you're a school psychologist conducting your first manifestation review this year or a district coordinator standardizing processes across multiple buildings, this template provides the structure you need. Customize the questions to match your district's specific procedures, add your school branding, and start collecting thorough, compliant documentation immediately.

Trusted by school districts nationwide, Paperform helps education professionals manage complex compliance requirements without the complexity. Start with our Manifestation Determination Review Form template today and bring clarity, efficiency, and peace of mind to your special education processes.

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raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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