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Sample Entity Relationship Validation Letter

This letter is a sample of a letter used to validate the relationship between a school district, county office of education (COE) or consortium and the schools under its authority.

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Doug Jones, Superintendent
3298 Sample Drive
Ejemplo, CA 90008
999-569-2213

SAMPLE
Entity Relationship Validation Letter

March 9, 2018

State E-rate Coordinator
California Department of Education
1430 N Street, Suite 6308
Sacramento CA. 95814

The Universal Service Administrative Company (USAC) Program Integrity Assurance (PIA) team has requested verification that the entities in the attached table operate under the authority of Ejemplo Unified School District (BEN: 3342104).

Ejemplo City Schools is comprised of an elementary and a high school district, governed by a common Board of Education and general administrative staff. Ejemplo City Schools has authority over the elementary and high school districts.

The table below identifies the schools and Non-Instructional Facilities (NIFs) that operate under the authority of Ejemplo Unified School District (BEN: 3342104).

I certify that all information contained in this certification letter and its attachments are true and accurate and supported by written documentation maintained in the applicant’s official records of which will be made available promptly upon request. I acknowledge, on behalf of the governing board, that USAC distinguishes between an “annex” and a “school” and that, if USAC determines during an audit or otherwise that a school site is not a separate “school” but rather an “annex,” the applicant could incur a significant liability or disallowance.

Thank you for your assistance in this matter.

Sincerely,

Doug Jones
Superintendent
Ejemplo City Schools



Ejemplo School District (CDS code: 72203980000000)
(LINK TO DISTRICT WEBSITE)

Entity Name
School or NIF
Entity Number
CDS Code
Ejemplo Elementary School
School
4567752
72203980955001
Parkside Elementary School
School
4567751
72203980955002
Ejemplo Middle School
School
4567749
72203980955003
Ejemplo High School
School
4567748
72203980955004
Ejemplo Maintenance Facility
NIF
4567768
N/A
Questions:   E-rate | E-rate@cde.ca.gov
Last Reviewed: Tuesday, September 20, 2022
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