The University of the State of New York
THE STATE EDUCATION DEPARTMENT
Office of State Assessment
Albany, New York 12234

                                                                    
LANGUAGE ASSESSMENT BATTERY  – REVISED (LAB–R)
WORKSHEET FOR DEVELOPING ONLINE REQUESTS

 

This worksheet may be photocopied and used as a worksheet for preparing your school’s online request for submission to the Department.

Be sure to retain in your files the final version of this worksheet that matches the online request your school will submit to the Department. You will need to use that version for checking the confirmation notice, which will be sent to your principal by e-mail within three business days of the submission of your online request.

This worksheet should be retained at the school.
DO NOT submit this worksheet to the Education Department.

 

School Name

 

Date

 

 

Language Assessment Battery–Revised

Regular

Large Type

Braille*

 

 

 

 

Grades K-1

 

 

 

 

 

 

 

Grades 2-3

 

 

 

 

 

 

 

Grades 4-5

 

 

 

 

 

 

 

Grades 6-8

 

 

 

 

 

 

 

Grades 9-12

 

 

 

*The braille edition of LAB–R cannot be requested via the online request system. Braille editions must be requested in a separate letter signed by the principal and faxed to the Department at 518-474-2021. The letter must specify the exact quantity needed for students whose IEP and 504 Plans specifically require this accommodation.