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TO: RIC Director/Big 5 Coordinator |
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I have reviewed, along with my school principal(s), my local education agency’s (LEA’s) Accountability Verification Reports, which were generated from the New York State Repository System on ____________________.
I authorize the data on these reports on the Level 1 Repository to be moved to Level 2.
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Chief School Officer’s Signature |
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Date |
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Chief School Officer’s Name (please print) |
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Date |
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Local Education Agency |
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12-digit district BEDS Code |
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NOTE: This certification form must be sent to your RIC or Big 5 district data coordinator. Please keep copies of the complete, certified verification report on file. This Statement of Certification authorizes the Level 2 operator to move the data to Level 3.