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  • ESA: Forms

ESA: Forms

Please submit all completed forms to Help Desk.

 

Applicant Forms

(to be used when applying for ESA)

  • For proof of residency you can utilize the Affidavit of Shared Residence Form.
  • If applying under Legal Guardian is Blind: Blindness Confirmation Form
  • If applying under Legally Deaf/Hard of Hearing: Confirmation of Deaf or Hard of Hearing

 

Current Recipient Forms

(for parents currently using ESA)

  • The Request to Close your ESA Account should be sent to: [email protected]
    • Close Account Request Form

 

Other Documents

  • Funding Chart - Approximate ESA Award Amounts

 

  • Application Status
  • ClassWallet Information
  • Contact ESA
  • Eligibility Requirements & Application
  • ESA Allowable Items
    • ESA Allowable Items PDF
    • Associated Goods
    • Allowable Items from Lakeshore Learning
  • ESA Applicant Portal
  • ESA Guidelines
    • Associated Goods & Services (Students With A Disability)
  • ESA Quarterly Report
  • FAQ
  • Forms
  • Parent Advisory Council
  • Parent Handbook
  • Resources & Links
  • Survey: How Are We Doing?

Contact

  • ESA Staff
  • (602) 364-1969
  • Open A HelpDesk Ticket
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