Testing Irregularity Report
Email address
School Information
District Name
Your answer
Site Name
Your answer
Test Administrator
Your answer
Test Proctor
Your answer
Assessment Details
Grade Level
Subject
Mode
Date irregularity occurred
MM
/
DD
/
YYYY
Date assessment was completed
MM
/
DD
/
YYYY
Student Information
STN(s) of all students affected by the testing irregularity
Your answer
Irregularity Details
Describe the specific testing irregularity.
Your answer
Give a detailed explanation of the plan of action to finish testing the student.
Your answer
I attest that the above student(s) had a legitimate testing irregularity and that all procedures were followed according to the Oklahoma School Testing Program guidelines. I have ensured that the Test Administrator, Test Proctor, BTC/DTC and the Site Principal are aware of the testing irregularity.
By entering your name below, you agree with this statement.
Name and Title of submitter
Your answer
Date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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