Please submit all completed forms to [email protected] (except expense reports).
- To add an additional parent/guardian: Additional Parent/Guardian Request Form
- To remove a Student from the ESA Program: Close Account Request Form
- If applying under Legal Guardian is blind: Blindness Confirmation Form
- If applying under Legal Guardian is Deaf or Hard of Hearing: Deaf/Hard of Hearing Confirmation Form
Expense Report Forms
Note: It is highly recommended to use the electronic expense reporting system for submitting expense reports. Learn more at our Expense Portal page: http://www.azed.gov/esa/portal/.
If you are unable to complete an expense report through the online Portal, paper expense reports should be submitted to [email protected], or mailed to: Arizona Department of Education Attn: ESA 1535 W. Jefferson Street Bin #41 Phoenix, Arizona 85007 There are three kinds of expense reports:
- If you only pay private school expenses (tuition, textbooks, fees, and uniforms), complete the Private School Only Expense Report
- If you have student without a disability and spend in multiple categories (tutoring, curricula, etc.), complete the General Expense Report
- If you have a student with a disability and utilize therapies and services, complete the Student with Disability Expense Report
There is no “wrong” expense report, however completing the expense report that properly suits your needs will result in a shorter form. Please create a new expense entry (with attached receipt) for each time the ESA card is used.
Need more Space?
Print and complete the appropriate addendum sheet for adding more line items: