English Learner (EL) Forms


State-Approved EL Forms for Student Files (not to be modified)
Form Format
Home Language Survey English Spanish
Parental Notification English Spanish
Parent Request for Student Withdrawal English Spanish
Bilingual Program Waiver Request Form English Spanish
AZELLA Placement Test – Teacher Referral Form EL to Mainstream Mainstream to EL
The Office of English Language Acquisition Services for the Arizona Department of Education has developed the above forms for use by Local Education Agencies (LEAs).
The state-approved forms may not be altered in any way.


Sample EL Forms (may be modified)
Form Format
Sample Notification of Reclassification Letter English Spanish
Sample Two Year Monitoring Form for FEP Students English
English Language Proficiency Assessment Attestation Word PDF
Written Individualized Compensatory Plan (WICP) Word PDF
The Arizona Department of Education, Office of English Language Acquisition Services has developed these forms for use by the LEAs.
These were created as samples and can be used by the LEA, or the LEA can create one for their own use.