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Student
12-digit BEDS Code * (no spaces or hyphens)
Contact Email *
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Student Name
Student ID - NYSSIS or OSIS (10-digit # from NYSED or 9-digit # from NYC DOE)
Test Type
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Early Literacy
Math
Reading Comprehension
Vocabulary
Test Language
(valid test type required)
Test Date
Error Code (if applicable)
Description of Issue *
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Did the student take a break during the test?
- Not set -
Yes
No
How many minutes was the break?
Did the student navigate away from the test page during the test?
- Not set -
Yes
No