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SCORE/DESK AUDIT REVIEW REQUEST FORM  \nSchool Location Number:   School Name:   Test Administration Date:    \nAdministration:   Fall  Winter   Spring   Summer  \n\n| Last Name | First Name | M.I. | FLEID \\# | Gender\u003Cbr>( M / F) | Date of Birth | Grade\u003Cbr>Level | Inquiry\u003Cbr>Type* | Assessment** | Session\u003Cbr>ID*** | Results\u003Cbr>ID**** | PBT Only:\u003Cbr>RP/BR/ LP/\u003Cbr>OIPP***** | PBT Only:\u003Cbr>Test Book or\u003Cbr>Test/Answer\u003Cbr>Book Security \\# |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |\n\n*Inquiry Type: (Select one code)  \n• Missing Score/Not Reported: NOSL-Not on School List, NR-Not Reported, NR2-Did Not Meet Attemptedness Criteria, NR3-Marked (DNS)/Invalidation, NR5-Below-Grade Tester, NR6-Duplicate Record, NR7-FDOE Hold  \n• Desk Audit/Anomalous Score Request Codes: PRRR-Parent/guardian request rescore/review, SRRR-School request rescore/review, ISRRR–Individual Student Report Reprint Request The request for a Desk Audit/Anomalous Score Review must include a formal letter or email from the school principal or parent and describe the scoring anomaly, the difference between previous student performance and performance on the test result in question, and any special circumstance occurring at the time of testing. Must include supporting documentation including previous test results, student grades, and GPA.  \n**Assessment: FAST: Reading or Math Writing  \nEOC: Algebra 1, Biology, Civics, Geometry, US History  \nScience: Grade 5 or 8  \nFCLE  \n***Test Session ID: Generated via the TA Interface for the computer-based administration.  \n****Results ID: Generated on the Participation Report in TIDE for CBT only.  \n*****PBT Only: RP-Regular Print; BR-Braille; LP-Large Print; OIPP-One-item-per-page.  \nEmail [completed form to](completed form to irregularity@dadeschools.net)[ irregularity@dadeschools.net](completed form to irregularity@dadeschools.net), include supporting documentation for Desk Audits and ensure to meet set deadline.  \nName of Person Submitting Request Email of person submitting Request Signature of Principal or Designee Date Phone \\#","cbCaih7W0fBHzaWv","https://ap.wps.com/l/cbCaih7W0fBHzaWv","pdf",818925,"English","# Form Overview\n## Submission and Deadlines\n# Student and Request Details\n## Student Identification Fields\n## Assessment and Session Information\n## PBT-Only Security Information\n# Inquiry Type and Code Requirements\n## Missing Score Codes\n## Desk Audit/Anomalous Score Review Requirements","[{\"question\":\"这份表单用于请求什么事项？\",\"answer\":\"用于请求州级测评中学生缺失分数的处理，以及对异常计分/成绩的桌面审计（Desk Audit/Anomalous Score Review）复核。\"},{\"question\":\"Desk Audit/Anomalous Score Review 需要提供哪些关键材料？\",\"answer\":\"需包含来自校长或家长的正式信函或邮件，说明计分异常、与以往表现/该测试成绩的差异，以及在测试时发生的特殊情况；同时提供佐证材料，如以往测评结果、学生成绩单与GPA。\"},{\"question\":\"表单应如何提交以及需要满足什么要求？\",\"answer\":\"将已完成的表单及相关佐证材料发送至 irregularity@dadeschools.net，并确保满足规定的提交截止期限，同时完成提交人姓名、签名、日期与联系电话等信息。\"}]","STATEWIDE ASSESSMENTS MISSING STUDENT SCORE/DESK AUDIT REVIEW REQUEST FORM | PDF",1791092477]