2022–23 ELPAC and Alternate ELPAC Materials Return or Destruction Certification

Certification

This form provides an LEA ELPAC coordinator the opportunity to indicate the status of the LEA’s secure Initial and Summative ELPAC and Alternate ELPAC test materials. Please complete this form no later than July 14, 2023.

A certification must be completed for each LEA. Please submit multiple certifications if you are responsible for more than one LEA.

1. Enter your contact information here. All fields are required. *This question is required.

First Name *This question is required.

Last Name *This question is required.

Title *This question is required.

LEA Name /CDS Code (A-E) *This question is required.

LEA Name/CDS Code (F-J) *This question is required.

LEA Name/CDS Code (K-O) *This question is required.

LEA Name/CDS Code (P-S) *This question is required.

LEA Name/CDS Code (T-Z) *This question is required.

LEA Name/CDS Code if not listed *This question is required.

Your Email Address *This question is required. This question requires a valid email address.

Your Phone Number *This question is required.