Verification Report 9
Provider Report of School Age Students
Receiving Special Education Services as of October 7, 2009
As Reported by School Districts with CSE Responsibility

Description of Report

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 are provided special education services and their age range as of October 7, 2009. These data were reported by the school districts that have CSE responsibility for these students as of October 7, 2009.

Directions: Please review your programís 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 districtís records, please contact the special education office of each school district to resolve the discrepancy. If the school districtís 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 November 27, 2009 for school age students to request a vendor per-pupil funding amount of IDEA funds.

School District:  [SED Code] [Name]

Table 1: In regular school programs in buildings attended by disabled and nondisabled students

Line
Number
Time INSIDE
Regular Classroom
A B C D E F
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            

Table 2: In Separate Settings Outside of regular school facilities, in buildings that are attended by students with disabilities only. Line 4 includes students who are placed on home instruction by the CSE. Students who are home-schooled by parent choice are reported in Table 3.

Line
Number
Type of Setting A B C D E F
Age Group
4-5 6-11 12-13 14-17 18-21 Total
01 Seperate School            
02 Residential Facility            
03 Hospital (In-patient)            
04 Home Placement by CSE            
05 Total            

Table 3: In Other Specific Settings. School districts do not place students in these settings. Instead, students are in these settings because of court decisions or parental choice.

Line
Number
Type of Setting A B C D E F
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
           
  Total            

 

New Certification for the 2009-10 School Year:
For public school districts, VR1-9 reports must be certified at the same time. If you certify any one of VR1-9 reports, you will be certifying all of these reports.

For all other schools or agencies that see VR1-9 reports, VR1-6 and VR8 reports must be certified at the same time. If you certify any one of VR1-6 and VR8 reports, you will be certifying all of these reports.