Oregon Department of Education

Special Education Data Collection Forms

  • Post Submission Correction Form 581-1092-O (Revised June 2014) Word MS-Word| PDF PDF
  • SECC School Programs Form 581-5168a-Q (Revised August 2016)   Word Word Document   | PDF PDF
  • SECC EI/ECSE Programs Form 581-5168-E (Revised August 2016)   Word Word Document   | PDF PDF
  • Child Find Form 581-1356-D (Revised August 2016) Word MS-Word | PDF PDF
  • District/Consortium SECC Contact Information Form 581-1442-M (Revised October 2016) Word MS-Word | PDF PDF
    It is the responsibility of each agency to submit a new form annually or when an update is needed.

Additional Links
  • Annual Application and Statement of Assurance
    The Annual Application is used by school districts and other agencies to apply for federal flow-through grant funds under the Individuals with Disabilities Education Act (IDEA). The form due date is May 27, 2016.
  • Coordinated Early Intervening Services Form
    Form 581-1314-N. The Coordinated Early Intervening Services (CEIS) data collection form is due October 3, 2016. Instructions and CEIS Form 581-1314-N are located on the Optional Use of IDEA Funds webpage.
  • Private School Data Form
    The Private School Data Form combines the Calculation of Proportionate Share of IDEA Funds for Parentally Placed Private School Student and Private School Enrollment forms. The form due date is November 14, 2016.

  • Jackie McKim Email    (503) 947-5629
    IDEA Compliance & District Resources - Special Education Research Analyst
  • Joanne Manning Email    (503) 947-5696
    Support Staff - Office Specialist