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Form J-13A Submission Documents

Documents for Request for Allowance of Attendance Due to Emergency Conditions, Form J-13A submissions.
Important Notice

All local educational agencies (LEAs) must attach a Certification Form for Independent Study plan to any Form J-13A submitted to the California Department of Education (CDE) due to emergencies occurring after September 1, 2021.

Forms

Form J-13A (PDF; 1MB)
Request for Allowance of Attendance Due to Emergency Conditions, Form J-13A (Revised December 2017). Users should download and save the PDF prior to entering data into the form.

Supplemental Form (XLS)
Supplemental pages for sections B and C of the Form J-13A in Excel format.

Certification Form for Independent Study plan and for the Offering of Independent Study (PDF)
The Certification Form for Independent Study plan and for the offering of Independent Study for 2021–22 Form J-13A submittals.

COVID-19 Related Staffing Shortages Addendum (PDF)
The Addendum for verification of staffing shortages due to impacts of COVID-19 for 2021–22 Form J-13A submittals.

Questions:   Principal Apportionment Section | attendanceaccounting@cde.ca.gov | 916-324-4541
Last Reviewed: Tuesday, October 19, 2021
Recently Posted in Allocations & Apportionments