Home » Testing & Accountability » Testing » California High School Exit Examination (CAHSEE)

CAHSEE Waiver & Exemption Data Collection Form

Instructions for using the CAHSEE Waiver and Exemption Data Collection Form as Required by Title 5 Regulations sections 1207.1 and 1207.2 and California Education Code Section 60851.

This form is provided to local educational agencies (LEAs) to collect data for those students with disabilities who received a California High School Exit Examination (CAHSEE) waiver or exemption pursuant to California Education Code (EC) sections 60851 (c) or 60852.4.

LEAs are required to report the data under California Code of Regulations, Title 5 sections 1207.1 and 1207.2. The California Department of Education (CDE) has developed an encrypted electronic form to be used by LEAs to report the data.

Please follow the instructions below for completing each of the fields in the CAHSEE Waiver and Exemption Data Collection Form.

The form can be found on the on the CAHSEE Web page:

When prompted for a password to access the form, enter the password you received via e-mail.
Pursuant to Education Code sections 60851(c) or 60852.4, complete each of the fields for those students with disabilities in the Class of 2007 that:
- Have been granted a waiver to one or both parts of the CAHSEE requirement, and/or
- Have an IEP or Section 504 plan dated on or before July, 2006, that indicates that the pupil is scheduled to graduate in 2007, but who has not yet passed both sections of the examination.
Each of the fields can only be populated with the codes described in the table below. Additionally, drop down menus have been created to aid in entering the data.
1. To utilize the drop down menus, first select the cell for which you wish to enter data.
2. Next click the downward facing arrow on the right side of the cell, which will generate the list of acceptable values.
3. Then click the appropriate value of the list.

Field Name	Instructions for Completing Field
District Name	Enter the name of the district, county office of education, or charter school completing this form.
CDS Code	Enter the CDS code of the district, county office of education, or charter school completing this form. Enter the CDS code as XX-XXXXX-XXXXXXX. For assistance in identifying your CDS code, go to the California School Directory Web page.
Student ID	Enter each student’s SSID. Note: This field is for local use only and will be removed once the files are collected by CDE.
Pupil’s Last Name	Enter the pupil’s last name. Note: This field is for local use only and will be removed once the files are collected by CDE.
Pupil’s First Name	Enter the pupil’s first name. Note: This field is for local use only and will be removed once the files are collected by CDE.
School Name	Enter the name of the school or charter school completing this form.
Primary Disability Code	Enter the student’s primary disability code in this field. The valid codes are listed below: 000- Student Receives no Special Education Services 210- Mental Retardation (MR) 220- Hard of Hearing (HH) 230- Deaf (DEAF) 240- Speech or Language Impairment (SLI) 250- Visual Impairment (VI) 260- Emotional Disturbance (ED) 270- Orthopedic Impairment (OI) 280- Other Health Impairment (OHI) 290- Specific Learning Disability (SLD) 300- Deaf-Blindness (DB) 310- Multiple Disabilities (MD) 320- Autism (AUT) 330- Traumatic Brain Injury (TBI)
Percent of Time in General Education	Provide an estimate of the percent of time the student is in general education using the ranges described below: 90 to 100 percent 51 to 89 percent 20 to 50 percent Less than 20 percent
Did Pupil Receive a 2007 Diploma?	Indicate “yes” if the pupil received a diploma in 2007. Indicate “no” if no 2007 diploma has been granted.
If Pupil Received a 2007 Diploma, Indicate if it Was a Result of Having Been Granted a Waiver or an Exemption?	Indicate “Waiver” if the pupil received a diploma in 2007 pursuant to Education Code Section 60851(c). Indicate “Exemption” if the pupil received a diploma in 2007 pursuant to Education Code Section 60852.4. For information on Education Code Section 60851(c), go to http://www.leginfo.ca.gov/cgi-bin/waisgate?WAISdocID=9412707790+1+0+0&WAISaction=retrieve (Outside Source).
Graduation Date Specified in IEP or 504 Plan	Provide the month and year of expected graduation listed in the student’s IEP or Section 504 Plan using the list below: Jan 2007 Feb 2007 Mar 2007 Apr 2007 May 2007 Jun 2007 July 2007 Aug 2007 Sept 2007 Oct 2007 Nov 2007 Dec 2007
Has Pupil Satisfied All Other State and Local Requirements?	Indicate “yes” if the student has satisfied all other state and local requirements besides CAHSEE. Indicate “no” if not.
Month and Year of Each Attempt of CAHSEE with All Accommodations and Modifications, if Any	Provide the month and year of each attempt to pass CAHSEE with accommodations and modifications, if any, listed in the IEP using the dates below: Feb 2005 Mar 2005 May 2005 Sept 2005 Nov 2005 Feb 2006 Mar 2006 May 2006 July 2006 Oct 2006 Nov 2006 Dec 2006 Feb 2007 Mar 2007 May 2007 July 2007 Oct 2007 Nov 2007
Primary Type of Remedial or Supplemental Instruction Provided	Provide the primary type of remedial or supplemental instruction provided to the pupil using the codes below: Before School Day During School Day After School Day Summer School Saturday School Other
Month and Year of Each Attempt of the CAHSEE after Completing a Remedial or Supplemental Instruction Program	Provide the month and year of each attempt to pass CAHSEE after completing a remedial or supplemental instruction program using the dates below: Feb 2005 March 2005 May 2005 Sept 2005 Nov 2005 Feb 2006 Mar 2006 May 2006 July 2006 Oct 2006 Nov 2006 Dec 2006 Feb 2007 Mar 2007 May 2007 July 2007 Oct 2007 Nov 2007
Month and Year in which Pupil or Guardian Acknowledged that the Pupil is Entitled to a Free and Appropriate Public Education until 22 Years of Age or until the Pupil Receives a High School Diploma	Provide the date at which pupil or guardian acknowledged that the pupil is entitled to a free and appropriate public education until 22 years old of age or until the pupil receives a high school diploma using the drop-down list: Jan 2007 Feb 2007 Mar 2007 Apr 2007 May 2007 Jun 2007 July 2007 Aug 2007 Sept 2007 Oct 2007 Nov 2007
Has Pupil Satisfied all Requirements (pursuant to Education Code Section 60852.4)?	Indicate “yes” if the student met all seven criteria listed in Education Code Section 60852.4. Education Code Section 60852.4 is the code that allows students with disabilities who meet the seven criteria to satisfy the CAHSEE requirement by way of an exemption. For information, visit the exemption requirements Web page. Indicate “no” if requirements were not met.
Grade in Which Student Scored Equivalent of Passing With Modifications for Mathematics (if applicable)	Provide the grade in which the student passed with modifications using the choices below: 10 11 12 12+ Adult Education N/A
Mathematics Waiver Requested	Indicate “yes” if a waiver of the mathematics portion of the examination has been requested. Indicate “no” if a mathematics waiver was not requested.
Mathematics Waiver Granted or Denied	Indicate “Granted” if a waiver of the mathematics portion of the examination has been granted. Indicate “Denied” if a waiver has been denied.
Provide Date on which Mathematics Waiver Was Granted (if applicable)	Provide the date the Mathematics waiver was granted. Acceptable dates : 1/1/2004 to 12/31/2007 If the waiver was not granted, please leave the field blank.
Provide Date on which Mathematics Waiver Was Denied (if applicable)	Provide the date the Mathematics waiver was denied. Acceptable dates : 1/1/2004 to 12/31/2007 If not applicable, please leave the field blank.
Grade In Which Student Scored Equivalent of Passing With Modifications for English Language Arts (ELA)	Provide the grade in which the student passed with modifications using the choices below: 10 11 12 12+ Adult Education N/A
ELA Waiver Requested	Indicate “yes” if a waiver of the ELA portion of the examination has been requested. Indicate “no” if an ELA waiver was not requested.
ELA Waiver Granted or Denied	Indicate “Granted” if a waiver of the ELA portion of the examination has been granted. Indicate “Denied” if a waiver has been denied.
Provide Date on which ELA Waiver Was Granted (if Applicable)	Provide the date the ELA waiver was granted. Acceptable dates : 1/1/2004 to 12/31/2007 If the waiver was not granted, please leave the field blank.
Provide Date on which ELA Waiver Was Denied (if Applicable)	Provide the date the ELA waiver was denied. Acceptable dates : 1/1/2004 to 12/31/2007 If not applicable, please leave the field blank.

After entering the data into the form, please save the form as “Your District* CAHSEE Waiver and Exemption Data Collection Form.xls”.
*Note: Replace “Your District” in the above Excel file name with the name of your own district, for example, “LA Unified CAHSEE Waiver and Exemption Data Collection Form.xls”.
Please submit all data via e-mail to cahseedatacollections@cde.ca.gov by February 29, 2008.

For questions on the CAHSEE waiver and exemption process, contact the California High School Exit Exam (CAHSEE) Office at 916-445-9449, and for questions on the data collection process, contact the Assessment Data Management Office at 916-445-8420.