* required field
This is a request for additional Achievement testing accommodations for a student with a current IEP or 504 Plan. The additional accommodations requested SHOULD NOT include Universal Test Administration Conditions or Universal Tools. Please refer to the Achievement Assessments Accommodations Manual on ADE's Assessment Accessibility web page at https://www.azed.gov/assessment/accessibility.
One request submission will cover the following Achievement assessments for the student during the current school year: AASA (Grades 3-8), AzSCI (Grades 5, 8, and 11/Cohort 2023), and/or ACT Aspire (Grade 9/Cohort 2025). This submission form MAY NOT be used for any accommodations requests for ACT. All ACT requests must be submitted through ACT's Test Accessibility and Accommodations (TAA) system.
This request is only valid for the current school year. If instructional and assessment accommodations in the student’s IEP or 504 Plan are updated during the current school year after this initial submission, you will need to submit a new request.
For students needing a Special Paper Version (Braille, Large Print, or regular print) test, please submit the Special Paper Version (SPV) Request form for Spring 2022: https://www.azed.gov/assessment/spv2022.
Not all accommodations are appropriate for statewide Achievement testing. Accommodations MAY NOT ALTER the construct of the assessment.
The additional accommodations being requested in this form must be included in the instructional accommodations section of the IEP or 504 Plan as well as in the assessment accommodations for statewide assessments. This request must include specific and detailed information and documentation pages extracted from the student’s IEP or 504 Plan that pertain to the requested accommodations routinely used for instruction and assessment.
The submission of this request form does not constitute an approval for the additional accommodations requested. ADE will review the request and then ADE will provide a response to the Achievement District Test Coordinator that includes approval, partial approval, denial, or a request for additional information for each accommodation being requested.
Please submit the following sections of the student’s 504 plan or Individualized Education Program (IEP):
THIS IS A SECURE FILE SUBMISSION.
Allowed file extensions – .jpg,.gif,.png,.tiff,.or pdf
© 2022 Arizona Department of Education