PUPIL ACCOUNTING REQUIRED DOCUMENTATION CHECKLIST
MIDDLE SCHOOL, HIGH SCHOOL, ALTERNATIVE ED
DISTRICT: ______BUILDING: ______COUNT DAY: ______
_____ Student Alpha Lists
_____ Student Information System Alpha List (By Grade)
_____ MSDS Alpha List
_____ Add & Drop Record (Entry/Withdrawal Report)
_____ Count Day Absence Form – Middle, High, Alternative Ed
_____ Count Day Student Schedules (Print or save electronically)
_____ Count Day Worksheet
_____ Master Schedule of Teachers (room numbers, class times, lunch breaks)
(List should contain proper names of teachers as submitted in REP)
_____ Proof of 75% Attendance Report
_____ Cooperative Ed Form
_____ DS 4061 Special Ed Categorical
_____ Early/Middle College List of Pupils
_____ Expanded Online Learning List of Pupils (21f)
_____ Experiential Learning List of Pupils
_____ Homebased Pupil List
_____ Homebased Teacher Log – Instructional Dates/Times
_____ Homebound/Hospitalized Pupil List
_____ Homebound/Hospitalized Teacher Log – Instructional Dates/Times
_____ Homebound/Hospitalized Certification from Physician
_____ Nonpublic Shared Time List & Calculations – Educated at Nonpublic Site
_____ Nonpublic Shared Time List & Calculations – Educated at Public School
_____ Nonpublic Shared Time FTE Summary
_____ Nonpublic versus Public Course Offerings
_____ Nonresident List of Pupils Form
_____ Residency Affidavit – Home of Relative
_____ Part-Time List of Pupils
_____ Post-Secondary (Dual) Enrollment List of Pupils
_____ Proof of Payment
_____ Reduced Schedule List of Pupils
_____ Reduced Schedule Request & Approval Form
_____ Seat Time Waiver List of Enrolled Pupils (Requires Additional Forms Listed Below)
_____ Seat Time Waiver Mentor Teacher Log
_____ Seat Time Waiver Record of Student Logins
_____ Special Education Pupils with Less-Than-Full-Day Schedule (claimed for 1.0 FTE)
_____ Special Education Worksheet A & B
(If submitting any “new” Section 53 students on worksheet A, please submit supporting documentation, i.e. court documents, etc.)
_____ Split Schedule List of Pupils
_____ Suspension and Expulsion Pupil List (Only Students on Count Day)
_____ Verification Statement Form (Includes Birth Verification)
_____ Virtual Learning, Distance Learning & Independent Study List of Pupils
_____ CTE Work-Based Pupil List
_____ Non-CTE Work Based Pupil List
_____ SpEd Transition Pupil List
_____ Work Based Training Agreement/Plan
_____ Gen Ed Teacher Visitation Log
_____ SpEd Teacher Visitation Log
Please return this form with required paperwork. Check off items as you complete your forms for submission. If an item does not pertain to your building, you can note “NA” next to that item. DO NOT submit forms that do not apply to your program. Each line item should contain either a “check mark” or “NA.” The principal’s signature verifies that all required forms have been submitted and that the line items marked as “NA” do not apply to this program.
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Principal’s Signature Date