Forms
The Minnesota Department of Education is in the process of updating our forms to fillable PDF forms. Forms can then be filled out electronically and saved, or printed and filled out manually, if need be.
Some forms will be updated in the coming weeks; some will be kept as is until their next revision date. If you have questions about forms completion, please contact the person listed for each individual form.
| Title | Due Date | Contact | Program Area | Charter School | Form # |
|---|---|---|---|---|---|
| 2020-21 Postsecondary Enrollment Options (PSEO) Verification of Extended PSEO Eligibility
|
Jeanne Krile 651-582-8637 |
School Finance | ED-02480-04 | ||
| 2020-21 Postsecondary Enrollment Options (PSEO) Verification of Extended PSEO Eligibility - Typed Signature Option
|
Jeanne Krile 651-582-8637 |
School Finance | ED-02480-04 | ||
| 2020-21 Postsecondary Enrollment Options (PSEO) Verification of Extended PSEO Eligibility - Word Version
|
Jeanne Krile 651-582-8637 |
School Finance | ED-02480-05 | ||
| 2021 Senior Class Fund Guidance
|
Molly Koppes 651-582-8249 |
School Finance | ED-02462-03 | ||
| Access to Career Technical Education for Students with a Disability (ACTE-SPED) Request for Approval of Contracted Services Form
This form is to be completed when funding is being requested for contracted services ACTE-SPED. |
Erin Larsen 651-582-8840 |
Career Tech Ed/Community Ed/Service Learning | ED-00365-18 | ||
| Agreement for the Child and Adult Care Food Program (CACFP)
|
Food and Nutrition Service 651-582-8698 |
Child/Adult Care Programs | No | ED-02409-04E | |
| Application for funds support services for deaf and hard-of-hearing adults
Use this form to request funds for interpreter and notetaker services for deaf and hard-of-hearing adults |
Michelle Kamenov 651-582-8434 |
Career Tech Ed/Community Ed/Service Learning | 01643-15 | ||
| Application for Special Education Funds - Statement of Assurances (SFY 2020-21)
|
6/1/20 | Special Education Funding 651-582-8611 |
School Finance | ED-01350-36 | |
Application for Student Transportation Reimbursement - Open Enrollment and Charter School Enrollment Programs
 PDF
Parents submit to districts or charter schools verifying income eligibility. |
Kelly Garvey 651-582-8524 |
School Finance | |||
| Application for Student Transportation Reimbursement - Postsecondary Enrollment Options Program
Parents or guardians submit this form to the districts to verify eligibility based on income. |
Kelly Garvey 651-582-8524 |
School Finance | |||
| Community Education Annual Report
An annual report for each school district having a community education levy. |
Michelle Kamenov 651-582-8434 |
00226-26 | |||
| Concurrent Enrollment Aid Application 2020-21
High schools that are partnering with eligible postsecondary institutions not accredited by the National Alliance of Concurrent Enrollment Partnership (NACEP) or in the process of becoming accredited must complete this application in order to receive concurrent enrollment aid. Applications are due by October 30, 2020. |
10/30/20 | Jacqui McKenzie 651-582-8852 |
Hg Sch/DualCred/Alt/OnlineLrng | ED-02456-06 | |
| County Auditor Report of School District Apportionment
|
Jan Carlson 651-582-8342 |
School Finance | ED-00016-18 | ||
| Determining Resident District Form
|
Kelly Wosika 651-582-8855 |
School Finance | Yes | ED-02457-08 | |
| District Revenues and Expenditures Budget for FY2021 and FY2022
|
Molly Koppes 651-582-8249 |
School Finance | ED-000110-44 | ||
| District-Owned School Bus Transaction
|
Kelly Garvey 651-582-8524 |
School Finance | ED-00186-14 | ||
| District-Owned Special Education School Bus Transaction
|
Kelly Garvey 651-582-8524 |
School Finance | ED-02387-06 | ||
| District-Owned Special Education Type III School Bus Transaction
|
Kelly Garvey 651-582-8524 |
School Finance | ED-02388-05 | ||
| District-Owned Type III School Bus Transaction
|
Kelly Garvey 651-582-8524 |
School Finance | ED-01658-13 | ||
| Early Childhood Family Education (ECFE) Report (Worksheet)
The ECFE Annual Report Worksheet is a worksheet to prepare data for electronic submission to the Early Learning Services Data System. These data are about ECFE Program participation and services during the school year. |
7/15/12 | Sophie oliver 651-582-8426 |
Early Childhood Services | ED-2309-12 | |
| Early Childhood Family Education Annual Report (Worksheet)
The Early Childhood Family Education (ECFE) Annual Report form is a worksheet to prepare data for electronic submission to the Early Learning Services Data System. These data are about ECFE program particiaption and services during the school year. |
7/15/12 | Debbykay Peterson 651-582-8426 |
Early Childhood Services | ED-2309-12 | |
| Early Childhood Family Education Participant Questionnaire Summary
Form to assist school districts in the preparation of aggregated Early Childhood Family Education participant demographic data for electronic submission to Minnesota Department of Education. |
7/15/12 | Debbykay Peterson 651-582-8426 |
Early Childhood Services | ED-2309-12 | |
| Early Childhood Screening Annual Report (Worksheet)
The Early Childhood Screening Annual Report form is a worksheet to prepare data for elctronic submission on the Early Childhood Screening program participation and services during the school year. |
7/15/12 | Sophie Oliver 651-582-8307 |
Early Childhood Services | ED-2309-12 | |
| Early/Middle College Program Identification Application
For State-Approved Alternative Education Programs and their Postsecondary Partners to become a State-Approved Early/Middle College Program. Programs are approved for a 3-year cycle. New programs and existing programs up for re-application, must submit application materials by March 1, 2021. |
3/1/21 | Beth Barsness 651-582-8336 |
Hg Sch/DualCred/Alt/OnlineLrng | ||
| Enrollment Projections Report for Charter Schools - School Year 2021-22
|
Jeanne Krile 651-582-8637 |
School Finance | Yes | ED-02158-32(A) | |
| General Statewide Enrollment Options Application for K-12 and Early Childhood Special Education
|
1/15/17 | Cindy S. Jackson 651-582-8572 |
|||
| Initial Registration Form for Unaccredited Schools
This form is to be submitted to resident school superintendents by October 1 of each year, or within 15 days of withdrawing a child from public school. Revised April 2015. |
10/1/18 | Cindy S. Jackson 651-582-8572 |
No | ||
| International Baccalaureate Student Exam Reimbursement Form for FY 2021
IB Coordinators must complete and submit this form to request reimbursement of IB student exams. Reimbursement requests are due by July 30, 2021. |
7/30/21 | Jacqui McKenzie 651-582-8852 |
Hg Sch/DualCred/Alt/OnlineLrng | ||
| International Baccalaureate Teacher Training Reimbursement Form for FY 2021
IB Coordinators must complete and submit this form to request reimbursement of IB teacher training. Reimbursement requests are due by July 30, 2021. |
7/30/20 | Jacqui McKenzie 651-582-8852 |
Hg Sch/DualCred/Alt/OnlineLrng | ||
| Invoice for Educational Services for Students in Care and Treatment
|
Michelle Jones 651-582-8577 |
School Finance | |||
| Letter of Intent to Continue to Provide Instruction
This form is to be submitted to the resident school superintendent by October 1 of each year after the instructor has provided the same district with an Initial Registration Form. Revised April 2015. |
10/1/18 | Cindy S. Jackson 651-582-8572 |
No | ||
| Monthly Transportation Reimbursement Request - Open Enrollment and Charter School Enrollment Program
Districts and charter schools use this from to submit a summary of monthly claims to the state. |
Kelly Garvey 651-582-8524 |
School Finance | ED-01876-31 | ||
| Monthly Transportation Reimbursement Request - Postsecondary Enrollment Options Program
Districts and charter schools use this form to submit a claim for postsecondary claims to the state. |
Kelly Garvey 651-582-8524 |
School Finance | ED-01765-35 | ||
| Nonpublic Fall Report - 2021-22
|
Michelle Carey 651-582-8287 |
School Finance | ED-00027-44 | ||
| Online Learning Option Act New Provider Application
Application process to gain MDE approval of becoming an online learning provider in Minnesota. |
Jeff Plaman 651-582-8457 |
Hg Sch/DualCred/Alt/OnlineLrng | ED-02334-07 | ||
| Online Learning Program Annual Update
Form to be completed by approved online learning providers and submitted to the Online Learning Specialist by July 15. |
Jeff Plaman 651-582-8457 |
Hg Sch/DualCred/Alt/OnlineLrng | ED-02444-05 | ||
| Online Learning Supplemental Notice of Student Registration Form
Form for student to submit to apply for a supplemental online learning course from a MDE approved public school online learning provider. |
Jeff Plaman 651-582-8457 |
Hg Sch/DualCred/Alt/OnlineLrng | ED-02400-05 | ||
| Program Agreement - Summer Food Service Program
Agreement for sponsors of summer food service programs. |
Jenny Butcher 651-582-8543 |
School Nutrition Programs | No | ED-02372-04E | |
| Pupil Transportation Annual Report Form
|
Kelly Garvey 651-582-8524 |
School Finance | ED-01652-21 | ||
| Qualified Zone Academy Bond Program Application
|
Lonn Moe 651-582-8569 |
School Finance | ED-02243-05 | ||
| Request for Fund Transfer
|
Molly Koppes 651-582-8249 |
School Finance | ED-02462-03 | ||
| Request for FY 2020-21 Federal Funds for Special Education Tuition Adjustment
|
3/30/21 | Michelle Jones 651-582-8577 |
School Finance | ED-02448-09 | |
| Request for SFY 2022 Federal Funds for Special Education Tuition Adjustment
|
3/30/20 | Michelle Jones 651-582-8577 |
School Finance | ED-02448-12 | |
| School District Credit Enhancement Application for Program Participation
|
Molly Koppes 651-582-8249 |
School Finance | ED-02110-07 | ||
| School Readiness Participant Questionnaire Summary
Form to assist school districts in the preparation of aggregated School Readiness participant demographic data for electronic submission to Minnesota Department of Education. |
7/15/12 | Debbykay Peterson 651-582-8426 |
Early Childhood Services | ED-2309-12 | |
| School Readiness Program Plan (Worksheet)
Guidelines and worksheet forms to prepare data for electronic submission. The school Readiness Program Plan is required for school districts to receive School Readiness Aid. |
7/15/12 | Debbykay Peterson 651-582-8426 |
Early Childhood Services | ED-2309-12 | |
| School Tax Abatement Report for Calendar Year 2020
|
2/1/20 | Daley Lehmann 651-582-8817 |
School Finance | ED-02009-30 | |
| School Tax Abatement Six-Month Supplemental Report
|
7/15/20 | Daley Lehmann 651-582-8817 |
School Finance | ED-02124-28 | |
| School Tax Report - 2020 Payable 2021
|
4/1/20 | Daley Lehmann 651-582-8817 |
School Finance | ED-00119-43 | |
| Special Education Out-of-State Travel Request
(ED-02474) |
Denise Berger 651-582-8260 |
School Finance | ED-02474-05 | ||
| Special Expenditure Application Court Placed Non-Minnesota Residents With Individualized Education Programs (IEPs) 2020-21
(ED-02432) |
Jill Bemis 651-582-8408 |
School Finance | ED-02432-14 | ||
| Special Expenditure Application Out-of-State Tuition for Minnesota Residents 2020-21
(ED-02431) |
Jill Bemis 651-582-8408 |
School Finance | ED-02431-14 | ||
| Special Expenditure Application Special Pupils With Individualized Education Programs (IEPs) 2020-21
(ED-02433) |
Jill Bemis 651-582-8408 |
School Finance | ED-02433-13 | ||
| Special Expenditure Application Special Pupils Without Individualized Education Programs (IEPs) 2020-21
(ED-02434) |
Jill Bemis 651-582-8408 |
School Finance | ED-02434-13 | ||
| Student Transportation Reimbursement Report - Open Enrollment and Charter School Enrollment Programs
PDF
Parents track mileage and submit to district or charter school. |
Kelly Garvey 651-582-8524 |
School Finance | |||
| Student Transportation Reimbursement Report - Postsecondary Enrollment Options Program
PDF
Parents or guardians use this form to summarize mileage and submit to the district or charter school. |
Kelly Garvey 651-582-8524 |
School Finance | |||
| Taconite Credit Report
|
4/1/20 | Daley Lehmann 651-582-8817 |
School Finance | ED-02331-16 | |
| Transportation to Achievement and Integration Schools or Programs Report Form
|
Kelly Garvey 651-582-8524 |
School Finance | ED-02370-21 | ||
| UFARS Code Request
|
Molly Koppes 651-582-8249 |
School Finance | ED-02093-04 | ||
| Uniform Tuition Billing Invoice for Transition Services
|
Michelle Jones 651-582-8577 |
School Finance | |||
| Uniform Tuition Billing One-to-One Services - 2020-21 School Year
|
9/13/21 | Michelle Jones 651-582-8577 |
School Finance | ED-02424-12 | |
| Uniform Tuition Billing One-to-One Services - 2021-22 School Year
|
9/11/20 | Michelle Jones 651-582-8577 |
School Finance | ED-02424-15 |
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