Forms

Published: 11/3/2014 9:52 AM

 

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.
 

Nonparticipation Forms

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

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

Medical Nonparticipation Form

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

Other Forms

Medical Emergency Form (Updated 9/10/2014)

Nondisclosure Form 

Nondisclosure Form for Embargoed Data

Group Nondisclosure Form (8/25/2014)

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