AZELLA Additional Accommodations Request 2025-2026

Page 1 of 2

* required field

This is a request for additional accommodations for one (1) student who is eligible for the administration of the AZELLA and has a current IEP or 504 Plan. The additional accommodations being requested SHOULD NOT include those listed under the Universal Test Administration Conditions or under the "Approved AZELLA Assessment Accommodations." See the AZELLA Accommodations Manual.

One request submission will cover both AZELLA test administrations (Placement and Spring Reassessment) for the student during the current school year. This request is only valid for the current school year. If the student’s IEP or 504 Plan is updated for instruction and state assessments during the school year and after this initial submission, you will need to submit a new request with the updated IEP or 504 Plan.

There are no provisions, in either state or federal law, that would allow the exemption of AZELLA testing for eligible students who are enrolled in the Special Education program and require an AZELLA test. An IEP Team, which must include an expert in second language acquisition, may NOT exempt a student from participating in AZELLA testing.

Not all accommodations are appropriate for AZELLA testing. Approvable accommodations for AZELLA are those that do not alter the construct that the assessment is intended to measure.

The additional accommodations requested in this form must be included in the accommodations for instruction, district assessments, and state assessments section of the student's IEP or 504 Plan. Accommodations specific for AZELLA should also be included in the student's IEP or 504 Plan. This request must be accompanied by supporting documentation pages extracted from the student's IEP or 504 Plan. 

The submission of this request form does not constitute an approval for the additional accommodations being requested. ADE will review the request and then ADE will provide a response to the AZELLA District Test Coordinator that includes approval, denial, or a request for additional information for each accommodation being requested. The entire review process may take up to 4 calendar weeks from the date of submission provided that the required documentation is submitted in the original request or additional information is submitted in a timely manner upon ADE's request. The student may NOT begin AZELLA testing until ADE's response indicates to proceed with the administration of the AZELLA test. 

Alt ELPA: When the student's IEP Team has determined the student eligible for Alternate Assessments, then the student must be administered the Alt ELPA rather than the AZELLA. The test administration compliance time frame for the Alt ELPA Screener matches the AZELLA Placement Test. This AZELLA Additional Accommodations Request form should not be submitted for a student who will be administered the Alt ELPA.

  • Alt ELPA Screener (in leu of the AZELLA Placement Test)
  • Alt ELPA Summative (in leu of the Spring AZELLA Reassessment)

 

Your Alternate Assessment DTC receives communications and guidance from ADE's Alternate Assessment Team regarding training and timelines for the administration of the Alt ELPA tests.

 

Enter today's date.
Is this a student who has recently (this school year) transferred into your school?
Please identify the district and school where the student was recently enrolled prior to enrolling in your school. Do not use acronyms. Please use the entire district and school names and their entity numbers, if known.
Will the student be able to access all AZELLA domains (Listening, Reading, Writing, and Speaking) WITH allowable and approved accommodations?
CHECK NO MORE THAN 3. Identify the AZELLA Domain(s) in which the Student's Disability Precludes Participation (CANNOT ACCESS due to disability - e.g., completely deaf, and completely blind when the student does not use any accommodations for the disability). Whenever administering any AZELLA test, the entire test must be administered. There are no exemptions to being administered a full AZELLA test. However, if, even with accommodations, a student is UNABLE to ACCESS one or more of the AZELLA domains because the student has a disability that precludes his or her participation in that domain, you must identify the domain(s) that the student’s IEP or 504 Plan have indicated that student is not able to access. For example, a student who is completely deaf and/or completely blind may not be able to "access" specific AZELLA domains. However, a student with a speech disability CAN "ACCESS" the Speaking Test and must be provided an earnest attempt with the AZELLA Speaking Test unit. A student may NOT be exempt from ALL the AZELLA domains.
I attest that the student for whom I am submitting this request for additional accommodations experiences blindness or deafness that is permanent in nature and precludes access to one or more of the AZELLA domains. I also attest that the need for additional accommodations submitted to and approved by the Arizona Department of Education has not changed since the initial request.

Additional Accommodations

The selections below are based on the test administration and grade level or grade bands.

Please pay attention to the AZELLA test administration and grade level(s) identified for the additional accommodations before making your selection(s). "SPV" = Special Paper Version; "ASL" = American Sign Language
Does the student use assistive technologies?
Enter the official names, type (Switch, AAC, Mobility, etc.), and the primary task that the device supports for the devices that are included in the student's IEP or 504 Plan, and that the student uses during instruction and assessment.
Identify the approximate time that the student has used each device.
For each device, please enter the device name and describe the student's level of independence using the device as Minimally Independent, Partially Independent, or Fully Independent.
Describe how the student controls each device. (e.g., eye gaze, voice input, pressing a button, etc.)

Addressing EL Needs

Please provide documentation and information pertinent to the student's EL needs and how they are being addressed in daily instruction. You may include additional comments and information that is of value for the review of this request.

File Uploads

Not all accommodations are appropriate for AZELLA testing. Accommodations may not alter the construct of the assessment. Please provide documentation pertinent to the student’s EL needs and how they are being addressed in instruction.

You must submit page(s) of the ACTUAL sections (not the entire IEP/504 Plan) of the student’s official IEP or 504 plan that indicate the needed accommodations are used routinely during instruction and assessments throughout the year. "AZELLA" State Test (Grades K-12) must be identified in the State Assessment section of the IEP/504 Plan. These pages must have the student’s demographics or SSID and the date of the document on each page submitted. Do not submit the entire IEP or 504 Plan.

The following 2 sections must be included with this submission:

  • PLAAFP (Present Levels of Academic Achievement and Functional Performance)
  • Instructional and Assessment Accommodations

 

THIS IS A SECURE FILE SUBMISSION.

Allowed file extensions –  .pdf., .doc, .docx, .xls, and .xlsx

Do NOT use the blue "Upload" buttons on the right side of the screen. They do NOT work. Use the "Choose File" to add your file(s) to the request. The file(s) will be sent to ADE after the request is submitted.

NOTICE: This report (and any attachments) contains PRIVILEGED OR CONFIDENTIAL information under state and federal law. This information may be used or disclosed only in accordance with law. I confirm that I have submitted truthful information and documentation to the Arizona Department of Education that this student requires additional AZELLA testing accommodations per the student’s IEP or 504 Plan for the current school year. I understand that the information I have provided may be shared with my District Superintendent/Charter Holder, School Principal, EL Coordinator, AZELLA District Test Coordinator, and other ADE units as necessary.