Testing Irregularity Form 2013
If it is determined that an irregularity in testing has occurred, the local district must complete this form within 24 hours of the occurrence. If you have any questions, please contact Gay Pickner at 605-773-3247 or
Test Coordinator's Email Address:
Test Coordinator's Phone Number:
Name of Student:
Choose which assessment
What DSTEP session/subject was not completed or were affected
MUST be completed if this testing irregularity occurred with the Dakota STEP.
Description of Irregularity
Action taken to correct:
If possible, what actions will be taken to avoid this type of incident again?
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