The document is a template for tracking accommodations offered to and used by students according to their Individualized Education Plans (IEPs). It includes blanks to record the student's name, date, accommodation offered or used, and whether it was not used. Shorthand codes are provided for commonly used accommodations like extended time, assistive technology, breaks, and modified tests. The template aims to simply and systematically track accommodation use per IEPs.

1. Accommodations
Used/Offered/Not
Used
Please
complete
each
time
accommodation
should
be
given,
PER
IEP
must
be
legally
offered…..
Student’s
Name:
DEVELOPED
BY
S.
HORWITZ,
SUCCESS
FOR
LEARING,
LLC
Date
Offered
Used
Not
Used

2. Accommodations
Used/Offered/Not
Used
Please
complete
each
time
accommodation
should
be
given,
PER
IEP
must
be
legally
offered…..
Student’s
Name:
DEVELOPED
BY
S.
HORWITZ,
SUCCESS
FOR
LEARING,
LLC
Accommodation
Short
Hand
for
Data
Collection
(could
be
placed
into
a
spreadsheet
if
easier—simple
yes
or
no
with
date
offered
(EXAMPLE
OF
SHORT
HAND
DATA
COLLECTION
FREQUENTLY
USED.
GOOD
FOR
RtI,
504/IEPS,
AND
MORE)
SCERTS
(SM)
Extended
Time
(ET)
Individual
Schedule
(IS)
Assistive
Technology
(AT)
Small
Group
(SG)
Clarification
of
Directions
(CoD)
Graphic
Organizer
(GO)
Dictation/Scribe
(D/S)
Breaks
(B)
Safe
Haven
(SH)
Visual
Support
(VS)
Modified
Work
(MW)
Modified
Tests/Quizzes
(MTS)
Small
Group
Classroom
Work
(SGW)
Literacy
Based
Intervention
(LBI)
After
School
Work
Completion
(ASWC)
Breakdown
of
Assignments
(BoA)
Individual
Due
Dates
for
Long
Term
Assignments
(IDDLTA)
Check
In
and
Out
System
(CICO)
Completed
Study
Guides
(CSG)