Annual report of hearing testing california 2007 form-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by completing the identifying information. Insert the reporting school year and your District’s CDS Code Number, which can be found in the California Public School Directory.
3. In Column (1), check the box for the highest grade in your district. This helps clarify the scope of your report.
4. For Column (2), enter the number of pupils enrolled in each grade as of the October report made to the California Department of Education.
5. In Column (3), input the number of pupils screened according to Section 2951(c), ensuring all grades are included.
6. Column (4) requires you to enter how many pupils failed both threshold tests as per Section 2951(d).
7. For Column (5), indicate how many pupils were referred for medical or audiological evaluation based on your previous entry.
8. Finally, in Column (6), document how many pupils were examined by a doctor or audiologist or are currently under treatment.

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