CAASPP Parent Opt-Out Form

Oct 3, 2026

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Parent/guardian request form for excusing a student from all or part of the California Assessment of Student Performance and Progress (CAASPP) system for the current school year. Includes checkboxes for total CAASPP or partial exemptions, with options such as CAST Science, SBAC ELA & Math, SBAC ELA and Mathematics, and California Alternate Assessments (CAA*) for eligible IEP students. Collects parent/guardian contact details and signature date, plus school-completion fields and principal approval.

LanguageEnglish

CategoryExam

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Parent/Guardian Request

Exemption Selection

Parent/Guardian Information

School Use

Student and School Details

Principal Signature and Date

PARENT/GUARDIAN REQUEST TO EXCUSE STUDENT FROM ALL OR PART OF THE CALIFORNIA ASSESSMENT OF STUDENT PERFORMANCE AND PROGRESS (CAASPP) SYSTEM PLEASE PRINT (one form per student): I would like my child, , excused this school year from the following state testing: ❏ Total CAASPP or Partial CAASPP Exemption Exemption (identify one or more areas below) ❏ CAST Science (grades 5 and 8) ❏ SBAC ELA & Math ❏ CAA* ELA & Math ❏ CAA* Science * (The CAA is only available to students with an IEP) Parent Name/Guardian: Address: ___________________________________________________________________ Street City State Zip Telephone: Parent Signature Date | TO BE FILLED OUT BY SCHOOL | | | --- | --- | | Student Name: | ________________________________________________________ | | Student ID \#: | ___________________________ | | School: | ________________________________________________________ | | Grade: | Teacher Name: | | School Year: | ___________________________ | Principal Signature Date SCHOOL NOTE: Please make a copy of this form for your records and send the original to Alecia Goforth upon completion. Lemoore Union Elementary School District Curriculum and Instruction Department SOLICITUD DE PADRE/ GUARDIÁN PARA EXCUSAR AL ESTUDIANTE DE TODO O PARTE DEL SISTEMA DE EVALUACIÓN Y PROGRESO DE DESEMPEÑO DEL ESTUDIANTE DE CALIFORNIA POR FAVOR IMPRIMIR (una forma por estudiante): Me gustaría que mi estudiante, , este excusado este añoescolar de las siguientes pruebas estatales: ❏ CAASPP total o exepción parcial de CAASPP Excepcion (identificar una o más áreas a continuación) ❏ Ciencia CAST (grados 5 y 8) ❏ SBAC ELA & Matemáticas ❏ Evaluación Alternativa de California* ELA y Matemáticas ❏ Evaluación Alternativa de California* Ciencia *( La Evaluación CAA es solamente para estudiantes conun I EP) Nombre de Padre/Guardian: Domicilio: ________________________________________________________________ Calle Ciudad Estado Código Postal Teléfono: Firma del padre Fecha | TO BE FILLED OUT BY SCHOOL / PARA USO DE LA ESCUELA | | --- | | Student Name/Nombre del Estudiante: ID \# / Numero de Identification:
School / Escuela:
Grade / Grado: Nombre de maestro/Teacher Name:
School Year / Año Escolar: | Firma del director Fecha SCHOOL NOTE: Please make a copy of this form for your records and send the original to Alecia Goforth upon completion. Lemoore Union Elementary School District Curriculum and Instruction Department

FAQs

What does this form request the parent or guardian to do?

It requests an excuse for a student from all or part of the CAASPP state testing for the school year.

What exemption options are listed on the form?

Options include total CAASPP exemption or partial exemptions such as CAST Science (grades 5 and 8), SBAC ELA & Math, and CAA* for eligible IEP students.

What information must the school and principal complete?

The school must fill in student name, student ID, school, grade, teacher name, and school year, and the principal must sign and date the approval.

Oct 3, 2026

Uploaded by pop out