Assessment Support

Forms

Published: 3/27/2023 12:51 PM

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

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

Helpful Assessment and Accountability Contacts

 
Nonparticipation Forms

The following forms can be used to request a student be released from the statewide accountability program. The HIPAA document should accompany any Medical Nonparticipation Form, if necessary.

 

Calculator Policy and Application to Request Unapproved Calculator

In previous years, an unapproved calculator request form was used to apply for unapproved calculators. The process for this has been updated for the Spring 2022 test administration. For information regarding the updated process, please refer to the appropriate section in the Online Testing Toolbox​ document.​


Seating Charts

Seating charts must be completed for all state assessments, including field tests.

Group Testing seating chart  

Individual Testing seating chart

 

Nondisclosure Forms 

Nondisclosure forms are used for various reasons regarding assessments. Any person who will handle or participate in administering test materials for any of the state assessments should complete one. A group nondisclosure form is also available. Also included below are forms for anyone handling embargoed data and Quality Control (QC) day. 

 

Administration Code/Inclusion of Special Populations Group Training Signature Sheet

Everyone that participates in administering state testing must have Administration code training. Anyone that provide accommodations during state testing must also have Inclusions of Special Populations training. Use the below signature sheets to document those trainings have occurred.

 

Site Visit Forms​

Staff from OAA conduct site visits during both field tests and operational tests each year. Below is the most up-to-date form detailing the information OAA staff gather during a visit.


​School Reconfiguration Forms

School Service Area of Reconfiguration Requests for the following school year must be submitted by June 30. The change request must be submitted if:

  • The grade range of an A1 school changes
  • A new A1 school opens
  • An A1 school closes
  • An A1 school boundary changes or
  • A shift in student population of greater than 40% occurs. 

School Reconfiguration Spreadsheet Instructions  

School Reconfiguration Spreadsheet (complete by June 30)

School Reconfigurations FAQ

Other Forms of Interest

Specific forms are required when dealing with certain issues pertaining to assessments. Below are the forms currently offered.


In Kentucky, districts are not permitted to honor a parent’s request to opt out of the Kentucky Academic Standards or statewide testing. 

 

Certification of Proper Test Administration Forms

The DAC and BAC certification of Proper Test Administration forms require that DACs and BACs certify their responsibilities were met on that test administration.

Certification of Proper Test Administration Forms are due within two weeks following the close of the test window. DAC Certification forms must be submitted to this Google Form​​

Test Certification Forms 





KDE DAC Information
Office of Assessment and Accountability
300 Sower Blvd., 5th Floor
Frankfort, KY 40601
(502) 564-4394
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