English Learner (EL) Forms
Infographic: Arizona English Learner Determination and Services
Guidance for Digital Forms and Electronic Signatures (July 2022)
The Office of English Language Acquisition Services developed the following forms for use by Local Educational Agencies (LEAs).
The state-approved forms may not be altered in any way.
Forms in English
Parental Notification and Consent Form
Parent Request for Student Withdrawal
Bilingual Parental Waiver Request Application
AZELLA Placement Test Referral Forms
English Learner Status Undetermined or Missed Prior Reassessment Test - FY 2023 (updated 6.14.22)
EL Program Services to Mainstream - FY 2023 (updated 6.14.22)
Mainstream to EL Program Services - FY 2023 (updated 6.14.22)
AZELLA Reassessment Test Referral Form
Stage I (KG) Reassessment Test Referral Form – Mainstream to EL
English Language Proficiency Assessment Administrator Attestation (2022-2023 School Year)
Forms in Spanish
Home Language Survey - Spanish
Parental Notification and Consent Form - Spanish
Parent Request for Student Withdrawal - Spanish
Bilingual Program Waiver Request Form - Spanish
The Office of English Language Acquisition Services 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.
Sample Notification of Reclassification Letter - English - Word Version (7.7.21)
Sample Notification of Reclassification Letter - English - PDF Version (7.7.21)
Sample Notification of Reclassification Letter - Spanish - Word Version (7.7.21)
Sample Notification of Reclassification Letter - Spanish - PDF Version (7.7.21)
Sample Two-Year Monitoring Form for Fluent English Proficient Students - Word Version (7.7.21)
Sample Two-Year Monitoring Form for Fluent English Proficient Students - PDF Version (7.7.21)
Written Individualized Compensatory Plan (WICP) - English - Word Version
Written Individualized Compensatory Plan (WICP) - English - PDF Version
Written Individualized Compensatory Plan (WICP) - Spanish - Word Version
Written Individualized Compensatory Plan (WICP) - Spanish - PDF Version
Required EL Forms and Documentation (updated 8.10.22)
Guidance for Home Language Survey when completed in Preschool
