Community of Practice Chair Stipend
Stipend Claim form for completing the work of Chair or Co-Chair

Formula – 421 – Individuals with Disabilities Education Act (IDEA)
Special Education Part B Section 611 Regional Low Incidence Discretionary
Federal Fiscal Year (FFY) 2018, State Fiscal Year (SFY) 2019
Catalog of Federal Domestic Assistance (CFDA) 84.027A, Special Education – Grants to States
(U.S. Federal Award Number H027A180087)
Application for Federal Funding

Formula – 430 – Individuals with Disabilities Education Act (IDEA) Part B Section 619
Centers of Excellence Discretionary Regional Comprehensive System of Personnel Development (CSPD), Ages 3-5
Federal Fiscal Year (FFY) 2018, State Fiscal Year (SFY) 2019
Catalog of Federal Domestic Assistance (CFDA) 84.173, Special Education – Preschool Grants
(U.S. Federal Award Number H173A180086)
Application for Federal Funding

Formula – 432 – Individuals with Disabilities Education Act (IDEA)
Special Education Part B Section 611 Regional Low Incidence Comprehensive System of Personnel Development (CSPD) Discretionary
Federal Fiscal Year (FFY) 2018, State Fiscal Year (SFY) 2019
Catalog of Federal Domestic Assistance (CFDA) 84.027A, Special Education – Grants to States
(U.S. Federal Award Number H027A180087)
Application for Federal Funding

Region 10 Low Incidence Projects
Payable to
Your answer
Email
Your answer
Address
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Community of Practice Facilitated
Date of CoP meeting
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DD
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YYYY
Amount of Stipend
Date hours were worked *
MM
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DD
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YYYY
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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Submit
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