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This is a request for additional Achievement testing accommodations for a student with a current IEP or 504 Plan. This form is to be used for AASA, AzSCI, and ACT Aspire requests. This form should not be used to request a Braille, large print, or regular print paper test. Instead, the Special Paper Version test request form should be used for any paper testing requests.
This submission form may not be used for any accommodations requests for ACT. All ACT requests must be submitted through ACT's Test Accessibility and Accommodations (TAA) system.
This request is only valid for the current school year. If instructional and assessment accommodations in the student’s IEP or 504 Plan are updated during the current school year after this initial submission, you will need to submit a new request.
Not all accommodations are appropriate for statewide Achievement testing. Accommodations may not alter the construct of the assessment.
The additional accommodations being requested in this form must be included in the instructional accommodations section of the IEP or 504 Plan as well as in the assessment accommodations for statewide assessments. This request must include specific and detailed information and documentation pages extracted from the student’s IEP or 504 Plan that pertain to the requested accommodations routinely used for instruction and assessment.
The submission of this request form does not constitute an approval for the additional accommodations requested. ADE will review the request and then ADE will provide a response to the Achievement District Test Coordinator that includes approval, partial approval, denial, or a request for additional information for each accommodation being requested.
For a student with an IEP or 504 Plan, please submit the following sections of the documentation:
For a student with an injury, please submit the doctor's written recommendation for the student.
THIS IS A SECURE FILE SUBMISSION.
Allowed file extensions – .pdf, .doc, .docx, .jpg, .png, .xls, or .xlsx
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