AZELLA K-2 Test Irregularity Report

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AZELLA Test Irregularity Report (K-2)

This AZELLA Test Irregularity Report is used to report Grades K-2 AZELLA Placement and Reassessment Test irregularities. Test irregularities for Grades 3-12 online tests should not use this form; rather, the irregularities must be submitted through PearsonAccess Next. Test Security incidents must be submitted using the Test Security and Ethics Incident Report. All AZELLA test irregularities must be reported to the Arizona Department of Education’s AZELLA Team within 24 hours of the incident. This report is a secure online form.

  • Date Format: MM slash DD slash YYYY

  • Name of person completing and submitting this report to ADE

  • Email address for person completing and submitting this report to ADE
  • Enter the complete name of the school district or charter district and the Entity ID number (not the CTDS)
    District or Charter Holder Name Entity ID
  • Enter the complete name of the school and the SCHOOL’s Entity ID number (not the CTDS)
    School Name Entity ID
  • Enter the email address for the district’s AZELLA District Test Coordinator
  • Enter the following information for the students who were involved in this irregularity incident.
    SSID FIRST Name LAST Name Date of Birth Grade  
  • Date Format: MM slash DD slash YYYY

  • Identify the test unit(s) that are effected by this test irregularity. Check all that apply
  • Identify the test irregularities involved in this incident. Check all that apply.
  • Enter a DETAILED description of the irregularity that is being reported.
  • Evidence and any supporting documents to be included with this incident report may be uploaded through this secure site.
    Drop files here or

    Accepted file types: jpg, png, pdf, xlsm, xls, csv, docx, doc, pptx, ppt.

  • This field is for validation purposes and should be left unchanged.