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Mt. Diablo Unified School District 2025-26 School Year (effective 11/21/2025)
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Name/Employee ID:_________________________________________________
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Class Type and Site:_________________________________________________Pay Period
Ending: _________________________
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Days in Pay Period
___________
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For assessments over contractual amounts please submit this Overage Assessment Log as well. Click here to access article 6.3. IEP's - Include dates PLEASE
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Student ID Number and Initials
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One line per month per student		Date Range of Caseload Overage
Number of Days over CaseloadNumber of Days Over Class Size (SDC) Or Sessions Provided (SLP or RS)Daily Rate
$95.10 SDC
$63.38 RS
$31.72 SLP
Per Session		Total DailyCase
Management
$240.96/Month
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daily
amount per day:
________		30-Day
$401.59
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IEP DATE
Other
$642.55
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IEP DATE
Annual
$642.55
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IEP DATE
Tri
$883.50
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IEP DATE
IEP
Payment		Total
Payment
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To be completed by Special Education Administration. Please pay the following:*Please submit one line per student spearated by month. Lave a blank line between students when space is permited
Example:
Line 1 - Student RV 5050000 Jan 21-Jan 31 - Days over 8
Line 2 - Student RW 5050000 Feb 1-Feb 20 -Days over 12
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Budget Code for 21st-31st of each monthAmount
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01.0000.5760.1110.50630.000. ________ .006.1160 ( Case Mgt)
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01.6500.5760.1110.100000.000.________.005.1160 ( IEP's)
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01.6500.5760.1190.12190.000.500.005.1160 (SLP's)
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Total Payment for this period
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To be completed by Special Education Administration. Please pay the following:Timesheets MUST be submitted to Renee Rogers by the 21st of the month to get paid by the 10th of the following month. The pay periods run the 21st of each month through the 20th of the following month. Use 1 timesheet per pay perid.
ELEMENTARY RESOURCE TEACHERS MUST SUBMIT WITH A COPY OF YOUR SERVICE LOGS.
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Budget Code for 1st-20th of each monthAmount
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01.0000.5760.1110.50630.000. ________ .006.1160 ( Case Mgt)
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01.6500.5760.1110.100000.000.________.005.1160 ( IEP's)
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01.6500.5760.1190.12190.000.500.005.1160 (SLP's)
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Total Payment for this periodTotal To Be Paid______________________
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Employee Signature___________________________________________
Date: __________________
Chief/Director of SPED Signature___________________________________________
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Case Load Maximums - ElementaryCase Load Maximums - Secondary
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 AU MAG, FI, CEP11BASES, ACSEL, AU Mag, AU Ben, AU Strat, AI Int, CEP, DHH, SEEC, OHI, PH, SH, FI11
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DHH, LH
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LH, MOD
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AAC 6
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AAC6
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Au Ben, Au Strat, AI,
SEEC, OHI, PH, SH		9
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Resource28
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Resource28
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Bridge Caseload Maximum
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Overage Maximum:1
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Notes: Please leave a blank line in between students when space is permitted. You may turn in more than 1 sheet per pay period if needed.

How to figure case management: Divide $235.54 by the total number of days in the pay period to get the daily rate. You then multiply that number by the amount of days on your caseload for the month.
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Article 6.3 - Information on Assessment Limits
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