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English Learner (EL) Forms

OELAS developed the following forms for EL files that may not be modified. If these forms are used in a digital format requiring an electronic signature they adhere to ADOA Policy.
 

Forms in:

English 

State-Approved EL Required Forms (not to be modified)

Home Language Survey 

Parental Notification and Consent Form 

Bilingual Parental Waiver Request Application 

Parent Request for Student Withdrawal

Alt ELPA Form 

Parental Notification and Consent Form - Alt ELPA   Revised

Sample EL Forms

The Office of English Language Acquisition Services developed these forms for use by the LEAs. These were created as samples and can be used by the LEA, or the LEA can create one for their own use.

Annual Progress-Monitoring Form for English Learners who are Parent Withdrawn from an English Learner Program

Word

PDF

Notification of Reclassification Letter  - AZELLA 

English - Word    

English - PDF 

Notification of Reclassification Letter  - Alt ELPA 

English - Word    

English - PDF 

Two-Year Monitoring Form for Fluent English Proficient Students 

Word

PDF

Written Individualized Compensatory Plan (WICP)

English - Word 

English - PDF

Spanish 

State-Approved EL Required Forms (not to be modified)

Home Language Survey

Parental Notification and Consent Form

Bilingual Parental Waiver Request Application

Parent Request for Student Withdrawal

Alt ELPA Form

Parental Notification and Consent Form - Alt ELPA  Revised

Sample EL Forms

The Office of English Language Acquisition Services developed these forms for use by the LEAs. These were created as samples and can be used by the LEA, or the LEA can create one for their own use.

Notification of Reclassification Letter  - AZELLA 

Spanish - Word

Spanish - PDF

Notification of Reclassification Letter  - Alt ELPA 

Spanish - Word

Spanish - PDF

Written Individualized Compensatory Plan (WICP)

Spanish - Word

Spanish - PDF

Arabic 

State-Approved EL Required Forms (not to be modified)

Home Language Survey 

Parental Notification and Consent Form 

Bilingual Parental Waiver Request Application 

Parent Request for Student Withdrawal

ALT ELPA FORM

 Parental Notification and Consent Form - Alt ELPA   

Sample EL Form(s)

The Office of English Language Acquisition Services developed these forms for use by the LEAs. These were created as samples and can be used by the LEA, or the LEA can create one for their own use.

Sample Notification of Reclassification Letters

Sample Notification of Reclassification Letter - AZELLA

Sample Notification of Reclassification Letter - Alt ELPA   

 Navajo 

State-Approved EL Required Forms (not to be modified)

Home Language Survey 

Parental Notification and Consent Form 

Bilingual Parental Waiver Request Application 

Parent Request for Student Withdrawal

ALT ELPA FORM

 Parental Notification and Consent Form - Alt ELPA   

Sample EL Forms

The Office of English Language Acquisition Services developed these forms for use by the LEAs. These were created as samples and can be used by the LEA, or the LEA can create one for their own use.

Sample Notification of Reclassification Letters

Sample Notification of Reclassification Letter - AZELLA

Sample Notification of Reclassification Letter - Alt ELPA   

 Swahili 

State-Approved EL Required Forms (not to be modified)

Home Language Survey 

Parental Notification and Consent Form 

Bilingual Parental Waiver Request Application 

Parent Request for Student Withdrawal

ALT ELPA FORM

 Parental Notification and Consent Form - Alt ELPA   

Sample EL Forms

The Office of English Language Acquisition Services developed these forms for use by the LEAs. These were created as samples and can be used by the LEA, or the LEA can create one for their own use.

Sample Notification of Reclassification Letters

Sample Notification of Reclassification Letter - AZELLA

Sample Notification of Reclassification Letter - Alt ELPA   

 Vietnamese 

State-Approved EL Required Forms (not to be modified)

Home Language Survey 

Parental Notification and Consent Form 

Bilingual Parental Waiver Request Application 

Parent Request for Student Withdrawal

ALT ELPA FORM

 Parental Notification and Consent Form - Alt ELPA   

Sample EL Forms

The Office of English Language Acquisition Services developed these forms for use by the LEAs. These were created as samples and can be used by the LEA, or the LEA can create one for their own use.

Sample Notification of Reclassification Letters

Sample Notification of Reclassification Letter - AZELLA

Sample Notification of Reclassification Letter - Alt ELPA   

 AZELLA-Related Forms (English only version and may not to be modified) 

AZELLA Test Referral Forms: Completed and signed AZELLA Placement Test referral form documents must be placed in the student's cumulative file.

For the latest AZELLA updates to forms, please visit the AZELLA DTC webpage


AZELLA Placement Test Referral Forms

English Learner Status Undetermined or Missed Prior Reassessment Test   PDF 

Moving from EL Program Services to Mainstream - Start of School Year*   PDF 

*Forms must be submitted to [email protected] for approval

AZELLA Placement Referral Moving from Mainstream to EL Program Services - FY25

English:  PDF

Spanish: PDF (Form is unavailable at this time; if needed, please email [email protected].)

Arabic: PDF 

Navajo: PDF

Swahili: PDF

Vietnamese: PDF

Guidance and Resources for EL Forms

Infographic: Arizona English Learner Determination and Services
 

EL Handbook: A Guide for Practitioners of English Language Learning
 

OELAS developed the following required forms for EL files that may not be modified. If these forms are used in a digital format requiring an electronic signature they adhere to ADOA Policy.

Training and reference materials for how and when to use required EL forms.

Required EL Forms and Documentation 

Guidance for Home Language Survey when completed in Preschool

Guidance for Digital Forms and Electronic Signatures 

EL Forms and Records Retention

Depending on the document, the retention schedule varies.  The two resources below should help you determine the retention schedules for any required documentation. Please remember that EL paperwork is part of the cumulative record and not its own thing. EL Records information can be found on page 2 of this FAQ link: https://apps.azlibrary.gov/records/general_rs/GS-1074.pdf

Should you have questions about any of these forms, please email us: [email protected]