Community of Practice Chair Stipend
Stipend Claim form for completing the work of Chair or Co-Chair
This opportunity if funded through the Formula – 421 – Individuals with Disabilities Education Act (IDEA) Special Education Part B Section 611 Regional Low Incidence Discretionary Federal Fiscal Year (FFY) 2017 State Fiscal Year (SFY) 2018 Catalog of Federal Domestic Assistance (CFDA) 84.027A, Special Education – Grants to States
(U.S. Federal Award Number H027A170087)

Region 10 Low Incidence Projects
Payable to
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Community of Practice Facilitated
Date of CoP meeting
Amount of Stipend
I declare under the penalties of law that this amount, claim or demand is just and that no part of it has been paid - Digitally Signed
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