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McKinney-Vento Act Questionnaire The answers to the following questions can help determine the services this student may be eligible to receive the McKinney-Vento Act 42 U.S.C. Office Use Only Request Mailed/faxed 2nd Attempt 3rd 4th HEALTH APPRAISAL of the child. Fill out the information requested in Section I. Examinations and/or Inspections Essential Findings Deviating from Normal Exam Date Page 1 of 2 Rev. July 2015 SECTION III - IMMUNIZATIONS Statements such as UP-TO-DATE or COMPLETE...

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5. Double-check your entries for any mistakes or missing information.
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7. Review the entire form once again to ensure nothing has been overlooked.
8. Attach any additional documents, if required, as per the instructions.
9. Sign and date the form where necessary.
10. Make a copy of the filled-out form for your records before submitting it.
11. Submit the form through the designated submission method (mail, online, in-person, etc.).

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9. Any person or entity asked to provide specific information in a structured format.
10. Anyone who wants to ensure their request or application is considered complete and valid.

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