IRC - Forms

​Budget Application Form

Lease/Mortgage Summary

Levels of Intensity Score Sheet

Program Description Form

Budget Identification Form

Staffing Pattern Grid


Treatment Foster Care-Difficulty of Care Computation

Treatment Foster Care and Foster Care Medically Fragile Programs Board Rate Computation

Last Update: 1/25/19

Contact Information

Maryland State Department of Education
Division of Early Intervention and Special Education Services
Interagency Collaboration Branch - IRC
Attention: Paula Stokes-Kearney, Rates Specialist
200 West Baltimore Street
Baltimore, MD 21201  
Phone: 410-767-0235
Fax: 410-333-0298