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 7, 2015 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 7, 2015 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 7, 2015 | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Total Ages 4-5 |
Total Ages 6-11 |
Total Ages 12-13 |
Total Ages 14-17 |
Total Ages 18-21 |
Grand Total for 2014 |
10/2/13 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 7, 2015 and October 1, 2014 data are identified with asterisks in the Reasonability Check Column.