Pupil Accounting Count Day Forms (For Required Documentation Checklists)

Unless a CEPI form is specified on the checklist, you may substitute an equivalent form generated by your student information system.

Alternative Education Forms:

5-A: Alternative Education Programs Pupil List Updated September 2023

5-A Alternative Education Grand Totals And Certification Updated September 2023

Days and Hours

3-E: Scheduled Days of Instruction - Clock Hours - 75% Report Updated September 2024

Homebased/Homebound/Hospitalized

5-C: Home-Based Education Pupil List Updated February 2024

5-C: Home-Based Education Services - Teacher Log Updated February 2024

5-D: Homebound-Hospitalized Pupil List/Teacher Log Updated September 2024

 5-D: Homebound-Hospitalized Educational Services - Teacher Log Updated September 2024

5-D: Homebound-Hospitalized Physician Statement Updated February 2024

Miscellaneous

1-E: Birth Certificate Verification Updated February 2024

1-G: Add and Drop Form Updated February 2024

 5-B: Cooperative Education Program Pupil List Updated February 2024

5-B: Cooperative Education Calendar Updated September 2024

5-F: Part-Time Pupil List Updated February 2024

5-G-A: Postsecondary (Dual) Enrollment Pupil List Updated February 2024

5-G-B: Early-Middle College Pupil List Updated February 2024

5-G-C: Postsecondary Gifted and Talented Pupil List Updated February 2024

5-L Special Education Transition Services Pupil List Updated January 2023

5-L Special Education Transition Services Teacher Log Updated September 2023

5-M: Split Schedule Pupil List Updated February 2024

5-N: Suspended and Expelled Pupil List Updated February 2024

5-N: Suspended and Expelled Pupil Instruction Log Updated February 2024

5-O-A: Distance Learning and Independent Study Pupil List Updated February 2024

5-O-B: Offline Seat Time Waiver Pupil List Updated March 2023

5-O-B: Offline Seat Time Waiver Mentor Instruction Time Form Updated February 2024

5-Q-A: Section 23a Dropout Recovery Program Pupil List Updated August 2022.

 6-A: Experiential Learning  Courses Pupil List Updated September 2023

6-B: Peer-to-Peer Pupil List Updated September 2023

5-Q-C Foreign Exchange Program Pupils Updated February 2024

4-A: Worksheet A  (Section 53a Pupils) Updated October 2023

4-A: Worksheet B (Section 52 Pupils) Updated October 2023

4-A: Worksheet A-B Instructions Updated October 2023

Non-Public Education

5-E: Non-Public Shared-Time Program Form Updated August 2023

5-E: Non-Public Shared-Time and Home Schooled At Public School Pupil List Updated August 2023

 5-E Non-Public Shared-Time and Home Schooled at Non-Public Pupil List Updated August 2023

5-E: Non-Public Shared Time and Home Schooled FTE Calculation Form Updated August 2023

Reduced Schedule

 5-H: Reduced Schedule Pupil List, Reduced Schedule Request and Approval Form, and SE Pupils Less Than Full Day Schedule Per IEP Updated September 2023

5-H: Reduced Schedule per IEP - Physician Statement Updated September 2023.

Virtual Learning

5-O-D: Virtual Learning Pupil List and Online Communication Form (3 tabs)
Updated September 2024

 5-O-D:  Parental Consent Form for Online Courses
Updated September 2023

Work-Based Education

5-P: Work-Based Education General Ed Pupil List Updated September 2023

5-P: Work Based General Ed Employer Visitation Log Updated September 2023

5-P: Work Based Learning for Special Education Pupil List Updated September 2023

5-P: Work Based Employer - SE Worksite Visitation Log Updated September 2023

5-P: Work-Based Education Training Agreement and Training Plan Updated September 2023

 5-P Work Based Education Companion Document from MDE Updated February 2023