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SCHOOL AGE STAC-1 (Updated December 2013) The University of the State of New York THE STATE EDUCATION DEPARTMENT Albany, New York 12234 Request for Commissioner s Approval of Reimbursement for Services
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How to fill out school age stac-1 122013
How to fill out school age stac-1 122013:
01
Start by obtaining the school age stac-1 122013 form. You can typically find it on your school district's website or request a copy from your child's school.
02
In the top section of the form, fill in your child's basic information such as their name, date of birth, and grade level.
03
Provide your contact information, including your name, address, phone number, and email address.
04
If applicable, indicate any special education services your child receives or needs by checking the appropriate boxes or providing additional information as requested.
05
In the section for school information, write down the name and address of your child's current school.
06
Indicate the transportation arrangements for your child, whether they use the school bus, walk, or are transported by other means.
07
If your child has any health conditions or medication needs, disclose this information in the health section of the form.
08
Provide emergency contact information, including the names, phone numbers, and relationships of individuals who can be reached in case of an emergency.
09
Read through the form carefully, checking for any additional sections or questions that may require your attention. Complete them accordingly.
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Lastly, sign and date the form to certify that the information provided is accurate and complete.
Who needs school age stac-1 122013?
01
School age stac-1 122013 is required for students of school age, typically those enrolled in elementary, middle, or high school.
02
Parents or legal guardians of the student must fill out the form.
03
The school or school district collects this information to ensure they have accurate records of students, their contact information, and any special services or health needs they may have.
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