Verification Report 9
Provider Report of School Age Students
Receiving Special Education Services as of December 3, 2007
As Reported by School Districts with CSE Responsibility
Below is a report of the number of school age students with disabilities (aged 4-21) who were receiving special education services in your program according to the least restrictive environment setting in which they were provided special education services as of December 3, 2007. These data were reported by the school districts that had CSE responsibility for these students as of December 3, 2007.
Directions: Please review your program’s record of the number of school age students with disabilities provided special education services from each school district against the numbers reported below by school districts. If there are discrepancies between your records and the school district’s records, please contact the special education office of each school district to resolve the discrepancy. If the school district’s record is inaccurate, they will need to resubmit their district files with the necessary corrections to the Regional Information Center (or the data warehouse for large cities) during the verification time period. These data should be consistent with the data provided by the approved special education programs to school districts on the SEDCAR-1 forms by March 3, 2008 for school age students to request a vendor per-pupil funding amount of IDEA funds.
School District {Code} {Name}
A | B | C | D | E | F | ||
---|---|---|---|---|---|---|---|
Line Number | Time INSIDE Regular Classroom | Age Group | |||||
4-5 | 6-11 | 12-13 | 14-17 | 18-21 | Total | ||
01 |
80% or more | ||||||
02 |
40% to 79% | ||||||
03 |
Less than 40% | ||||||
04 |
Total |
A | B | C | D | E | F | ||
---|---|---|---|---|---|---|---|
Line Number | Type of Setting | Age Group | |||||
4-5 | 6-11 | 12-13 | 14-17 | 18-21 | Total | ||
01 |
Separate School | ||||||
02 |
Residential Facility | ||||||
03 |
Hospital (In-patient) | ||||||
04 |
Home Placement by CSE | ||||||
05 |
Total |
A | B | C | D | E | F | ||
---|---|---|---|---|---|---|---|
Line Number | Type of Setting | Age Group | |||||
4-5 | 6-11 | 12-13 | 14-17 | 18-21 | Total | ||
01 |
Incarcerated in County Correctional Facilities | ||||||
02 |
Home Schooled at Parental Choice | ||||||
03 |
Parentally Placed in Nonpublic School-Receiving Special Education | ||||||
04 |
Parentally Placed in Nonpublic School-Not Receiving Special Education Services | ||||||
05 |
Total |