Forms

Published: 4/19/2013 3:54 PM

The Division of Support and Research has created a number of forms that can be downloaded for use by schools and districts in implementing the state's Assessment and Accountability Program.
 

Unless otherwise noted, the form is applicable to all state assessments.
 

Seating Charts

 

Exemption Forms

The Medical Exemption Form is used to request that a student be granted a medical exemption from the statewide accountability program. (Note: A student's handicapping condition, if any, cannot be the basis for a medical exemption.)

 
Information from the Medical Exemption and Extraordinary Circumstances forms is submitted via SDRR. Paper forms are kept on-file in the district.
 

Medical Exemption Form

HIPAA.docHIPAA.doc (To accompany Medical Exemption, if necessary.)
 
 
 
 

Other Forms

Medical Emergency Form

 

Nondisclosure Form 

 

​Specific Forms needed for:

 

Allegation Reporting

 

Alternate K-PREP

 

2013 K-PREP Certification of Proper Test Administration for:

DAC

BAC

 

KDE Assessment Information
Office of Assessment and Accountability
500 Mero Street, 17th Floor CPT
Frankfort, KY 40601
(502) 564-4394