Verification Report 2
School Age Child Count by Age and Disability
(Students Receiving Special Education Services on October 5, 2011)

To view the description of the report including SIRS codes please click here.

Directions: Please review the data below to verify each student’s disability and age as of October 5, 2011 for all school age students with disabilities (aged 4-21) for whom your district has CSE responsibility and who were receiving special education services on the snapshot date. The links below the numbers in each cell provide a list of students that meet the criteria to be included in the report. Also, please review your school district’s report of students excluded from this report. If corrections are needed to this report, please resubmit your district files with the necessary corrections to the Regional Information Center (or the data warehouse for large cities) before the certification due date.

Line Number	Disability (As of Snapshot Date)	Age as of October 5, 2011
		4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	Grand Total
01	Autism
02	Emotional Disturbance
03	Learning Disability
04	Intellectual Disability
05	Deafness
06	Hearing Impairment
07	Speech or Language Impairment
08	Visual Impairment (includes Blindness)
09	Orthopedic Impairment
10	Other Health Impairment
11	Multiple Disabilities
12	Deaf-Blindness
13	Traumatic Brain Injury
14	Total (Lines 1-13)

 

Line Number	Disability (As of Snapshot Date)	Age as of October 5, 2011
		Total Ages 4-5	Total Ages 6-11	Total Ages 12-13	Total Ages 14-17	Total Ages 18-21	Grand Total for 2011	10/6/10 Count of Students	Reasonability Check *
01	Autism
02	Emotional Disturbance
03	Learning Disability
04	Intellectual Disability
05	Deafness
06	Hearing Impairment
07	Speech or Language Impairment
08	Visual Impairment (includes Blindness)
09	Orthopedic Impairment
10	Other Health Impairment
11	Multiple Disabilities
12	Deaf-Blindness
13	Traumatic Brain Injury
14	Total (Lines 1-13)

* Discrepancies of plus or minus 10 students and 10 percent between October 5, 2011 and October 6, 2010 data are identified with asterisks in the Reasonability Check Column. Each identified discrepancy in the Reasonability Check Column will require an explanation after data are certified.

I certify that my school district's data are complete and accurate.

I cannot certify that my district’s data are complete and accurate, however I understand:

• I must make any remaining changes in SIRS to report complete and accurate data;
• The PD Data System will not be refreshed to display additional changes; and
• Submission of complete and accurate data within State established timelines is a federal compliance requirement (IDEA, section 613(a)(7); section 618(a); 34 CFR sections 300.640 to 300.644).

Please note that these buttons are inactive and are shown for display purposes only. In order to certify a report you need to do so through the PD Data System. The verification reports 1-9 are certified at the same time, if you certify 1 you are certifying them all.