Verification Report 3
School Age Students by Disability and Race/Ethnicity
(Receiving Special Education Services as of October 5, 2011)
Ages 4-5

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

Directions: Please review the data below to verify that students’ disability and race/ethnicity are displayed accurately for all school age students with disabilities (aged 4-5) 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
A B C D E F G H
Hispanic or Latino American Indian or Alaska Native
(Not of Hispanic Origin)
Asian
(Not of Hispanic Origin)
 Black or African American
(Not of Hispanic Origin)
Native Hawaiian or Other Pacific Islander (Not of Hispanic Origin) White
(Not of Hispanic Origin)
Two or More Races
(Not of Hispanic Origin )
Total
01 Autism                
02 Emotional Disturbance                
03 Learning Disability                
04 Intellectual Disability1                
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)                

1Mental Retardation was changed to Intellectual Disability in the 2010-11 school year.

Verification Report 3
School Age Students by Disability and Race/Ethnicity
(Receiving Special Education Services as of October 5, 2011)
Ages 6-21

Directions: Please review the data below to verify that students’ disability and race/ethnicity are displayed accurately for all school age students with disabilities (aged 6-21) 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 A B C D E F G H
Hispanic or Latino American Indian or Alaska Native
(Not of Hispanic Origin)
Asian
(Not of Hispanic Origin)
Black or African American 
(Not of Hispanic Origin)
Native Hawaiian or Other Pacific Islander (Not of Hispanic Origin) White
(Not of Hispanic Origin)
Two or More Races
(Not of Hispanic Origin)
Total
01 Autism                
02 Emotional Disturbance                
03 Learning Disability                
04 Intellectual Disability1                
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)                

1Mental Retardation was changed to Intellectual Disability in the 2010-11 school year.

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

Inaccurate Certification Button I cannot certify that my districtís data are complete and accurate, however I understand:

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.