Achievement Special Paper Version (SPV) Request Form - Spring 2023

* required field

The following Special Paper Version (SPV) test formats are available to meet the needs of students who cannot access the test content through computer-based testing: braille, large print paper, and regular print paper.

Please note that for AASA and AzSCI, student responses from SPV tests must be key-entered in TestNav by the end of the appropriate test window. Computer-based testing (CBT) schools will follow the CBT window, and paper-based (PBT) schools will follow the PBT window. For ACT Aspire, student responses from braille or large print tests/answer documents must be transferred to a standard print answer document for scoring. ACT Aspire SPV tests will follow the ACT Aspire PBT window.

Braille: The student’s 504 plan or IEP must document the need for braille materials for instruction and assessment. A braille test kit will include directions for administering the braille assessment.

Large Print: The student's 504 plan or IEP must clearly state the font size used for instruction and the type of materials teachers enlarge for the student.

  • The font size for the large print test booklets will be 18 pt on paper sized 14" x 18".
  • Unless a student regularly has reading and math materials enlarged for both diameter and font size, you may consider using the Zoom feature instead. The Zoom feature can be tried out in the sample tests.

Paper: A paper test is appropriate if a student is unable to use a computer due to injury, illness, or low vision. The student’s IEP or 504 plan must clearly indicate how the teachers accommodate the student's needs in class and the restrictions the student has when using technology. Examples include no more than xx minutes of screen time per day, or must have a significant break after xx minutes, no computer usage at all, etc.

District Test Coordinator (DTC) Name
Person Submitting Form
Name of Person Submitting Form
District/School Information
District/Charter Entity Number 9 max characters
School uses Computer Based Testing or Paper-Based Testing
Student Information
THIS IS A SECURE APPLICATION AND FILE SUBMISSION SITE
If the student has recently transferred into the district, please enter the date of the transfer. If the student has recently qualified for an SPV test or has had a change to their IEP or 504 plan, please enter the date of this change.
SPV test requests and other accommodations for ACT (Grade 11) are to be submitted directly to ACT using ACT’s processes and are not to be submitted to ADE for approval. ACT’s Test Accessibility and Accommodations (TAA) system is open for accommodations requests September 12, 2022 - January XX, 2023.

You must submit pages of the student's current IEP or 504 plan that indicate the need for an SPV form of the test. The document you submit must include:

  • The date of the document and the student's first and last name and SSID.
  • The Present Levels of Academic Achievement and Functional Performance (PLAAFP).
  • The Instructional Accommodations section that includes accommodations used routinely during instruction throughout the year in lieu of computer instruction. The instructional accommodations MUST align with the testing accommodations.
  • The Testing Accommodations section that lists the student's testing accommodations for district and state assessments.
  • For large print test requests, the IEP or 504 plan should indicate the minimum font size required for the student to access paper materials.

THIS IS A SECURE FILE SUBMISSION.

Allowed file extensions – .pdf, .doc, .docx, .jpg, .png, .xls, or .xlsx

Comments
I confirm that the submitted documentation reflects that this student requires a Special Paper Version Test for the state assessment(s).