DETAILED INSTRUCTIONS Determine the last regularly scheduled school day on which the student was both eligible for HH services and received HH services. Enter the LEA name, county, LEA number, ESD number, and report month Count the number of regularly scheduled school days that the in the boxes provided. student did not attend, as defined in WAC 392-121-033, between the dates determined in Nos. 1. and 2. Line A Divide the number of days in No. 3. by five to determine weeks of Report, to the nearest the total number of HH service weeks HH. provided at sites with a single enrolled student, such as the student’s Use the lesser of weeks in No. 4. or 18. Total weeks of HH for any home. Calculate weeks of HH services as described below. Do not individual may not exceed 18. include students reported on Line B. Total the number of weeks for each category for both Line A and B. Each such week of HH services generates $60 in HH program allocations. Certification Provide an original signature and date the completed Form E-525. Line B Report, to the nearest the total number of HH service weeks provided at sites such as a children’s ward of a hospital or a residential treatment center. Calculate weeks of HH services as described below. Do not include students reported on Line A. Each such week of HH services generates $55 in HH program allocations. Weeks of HH Calculations Total weeks of HH is calculated in the following method: Determine the first regularly scheduled school day on which the Form E-525 by Office of Superintendent of Public Instruction is licensed student was both eligible for HH services and began to receive under a Creative Commons Attribution-NoDerivatives 4.0 International HH services. License.
DETAILED INSTRUCTIONS Enter the LEA name, county, LEA number, ESD number, and report month in the boxes provided. Line A Report, to the nearest the total number of HH service weeks provided at sites with a single enrolled student, such as the student’s home. Calculate weeks of HH services as described below. Do not include students reported on Line B. Each such week of HH services generates $60 in HH program allocations. Line B Report, to the nearest the total number of HH service weeks provided at sites such as a children’s ward of a hospital or a residential treatment center. Calculate weeks of HH services as described below. Do not include students reported on Line A. Each such week of HH services generates $55 in HH program allocations. Weeks of HH Calculations Total weeks of HH is calculated in the following method: Determine the first regularly scheduled school day on which the student was both eligible for HH services and began to receive HH services. Determine the last regularly scheduled school day on which the student was both eligible for HH services and received HH services. Count the number of regularly scheduled school days that the student did not attend, as defined in WAC 392-121-033, between the dates determined in Nos. 1. and 2. Divide the number of days in No. 3. by five to determine weeks of HH. Use the lesser of weeks in No. 4. or 18. Total weeks of HH for any individual may not exceed 18. Total the number of weeks for each category for both Line A and B. Certification Provide an original signature and date the completed Form E-525. Form E-525 by Office of Superintendent of Public Instruction is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.