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It provides comprehensive instructions for incident reporting, including immediate telephone notification requirements to the ISBE Assessment Department and guidance on utilizing the secure online file submission utility. The form captures essential administrative details, including RCDTS codes, contact information, detailed incident descriptions, investigation steps, and resolution actions. Furthermore, it includes a tracking table to document specific students affected by the incident, their state IDs, and the relevant testing domains impacted, ensuring thorough documentation for audit and compliance purposes. This standardized procedure helps maintain test integrity across all educational jurisdictions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/access-for-ells-testing-irregularity-or-security-breach-report-form/533812/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/access-for-ells-testing-irregularity-or-security-breach-report-form/533812.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the first step when a testing irregularity or security breach is discovered?","Question",{"text":112,"@type":113},"Immediately call the ISBE Assessment Department at 866-317-6034 to report the incident.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How should the completed report be submitted?",{"text":117,"@type":113},"Submit the report using the 'Send ISBE a File' utility found on the ISBE home page under 'System Quick Links' and address it to 'PEDERSEN, BARRY D'. Do not submit the form via email.",{"name":119,"@type":110,"acceptedAnswer":120},"Is it necessary to keep a record of the submitted report?",{"text":121,"@type":113},"Yes, you must maintain a copy of the submitted form for your school's local records.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},533812,1792237894,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","ACCESS for ELLs-Form to Report a Testing Irregularity or Security Breach  \nInstructions for the District or School Coordinator:  \n1. If you discover a testing irregularity or security breach, immediately call the ISBE Assessment Department to report it, 866-317-6034.  \nSUBMIT  \n2. Complete this form unless instructed not to by ISBE.  \n3. Submit this report as soon as possible using the  button or the “Send ISBE a File” utility. A link to it is on the ISBE home page,([www.isbe.net](www.isbe.net) ) at the top, under “System Quick Links”. Do not submit via email. Use the name (PEDERSEN, BARRY D) in the “Receiver Information” section.  \n4. Maintain a copy of the submitted form for your school files.  \n\n| District Name:\u003Cbr>School Name:\u003Cbr>RCDTS Code: |  |\n| --- | --- |\n| Contact 1 Name:\u003Cbr>Phone:\u003Cbr>Email: | Contact 2 Name:\u003Cbr>Phone:\u003Cbr>Email: |\n| Grade(s) of Student(s): Domain(s): Listening Speaking Reading Writing |  |\n| Detailed Description of Incident: |  |\n| Investigation Steps Taken: |  |\n| Actions Taken to Resolve: |  |\n\nWas the incident resolved in a way allowing student(s) to continue testing? Yes No NA  \nStudents Affected  \n\n| Name | DOB\u003Cbr>􀀃􀀃 (mmddyyyy) | ^ 􀀃State ID | Domain 􀀃􀀄 |\n| --- | --- | --- | --- |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |\n|  |  |  | L S R W |","cbCaidZjLhIbSaI2","https://ap.wps.com/l/cbCaidZjLhIbSaI2","pdf",637183,"English","# Reporting Instructions\n## Incident Documentation\n## Student Tracking","[{\"question\":\"What is the first step when a testing irregularity or security breach is discovered?\",\"answer\":\"Immediately call the ISBE Assessment Department at 866-317-6034 to report the incident.\"},{\"question\":\"How should the completed report be submitted?\",\"answer\":\"Submit the report using the 'Send ISBE a File' utility found on the ISBE home page under 'System Quick Links' and address it to 'PEDERSEN, BARRY D'. Do not submit the form via email.\"},{\"question\":\"Is it necessary to keep a record of the submitted report?\",\"answer\":\"Yes, you must maintain a copy of the submitted form for your school's local records.\"}]","ACCESS for ELLs - Testing Irregularity or Security Breach Report Form | PDF",1791597087]