Form 021, also known as Form EVS 013, is a required form for all Virginia businesses. The form is used to report the value of taxable supplies and services purchased by the business during the previous year. This post will walk you through how to fill out Form EVS 013 correctly, so that you can submit it on time. Stay tuned for additional blog posts about Virginia business taxes, which will provide more in-depth information about specific aspects of tax law.
This information will allow you to grasp better the details of the form evs 013 before you begin filling it out.
| Question | Answer |
|---|---|
| Form Name | Form Evs 013 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Earobics, SRA, progress monitoring forms pdf, Escambia |
The School District of Escambia County
Evaluation Services
30 East Texar Drive, Pensacola, FL 32503
(850)
Supplemental Progress
Monitoring Form
Student Name: _____________________________________ Student Number: _________ FSNI: _________________
(Legal Name) LastFirstMiddle
Grade: ______ DOB: _________ School: __________________________ Teacher: ___________________________
Supplemental Intervention Form from Tier ___ IST Meeting on Date__________
Specific intervention |
Delivery |
Person(s) |
Measurement |
Review |
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Student’s |
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strategy: (SRA, Earobics, |
Method/Setting/ |
Responsible: |
Tool/Criteria for |
Date(s): |
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Response to |
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contingency contract, etc.) |
Frequency: (direct |
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Success: |
(6 to 12 weeks of |
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Intervention: |
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instruction, small |
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(DIBELS/risk level, |
implementation) |
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Attach progress |
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group in classroom, 3- |
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CBM/cwpm, |
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monitoring data (i.e., |
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5 x’s per week, etc.) |
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FOCUS/mini- |
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DIBELS, graph, tally |
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assessment, tally |
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sheet) |
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sheet/# of |
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behaviors, etc.) |
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Criteria for Success |
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___Met ___Not Met |
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2. |
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Criteria for Success |
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___Met ___Not Met |
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3. |
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Criteria for Success |
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___Met ___Not Met |
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Suggestions for Parents: |
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Parent Signature ______________________________________ (Indicates consent for diagnostics if requested by IST)
If parent did not attend: Method of contact: |
Date: |
By whom: |
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SIGNATURES: Teacher: |
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IST Facilitator: |
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Other: |
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Other: |
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Request for Diagnostic Assessments |
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_____ Yes _____ No (If IST requests diagnostic assessment, a |
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Area(s) to be assessed: ____Reading |
____Math ____Written Language ____Behavior |
____Other |
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Person responsible: |
Received by Evaluator (Initials/Date): |
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Conference to Review Results of Diagnostic Assessments |
Date_________ |
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Diagnostics Instrument: _____________ Date Administered:_______ Results:_________________________________
(Attach evaluation report)
(Tier III interventions should be reviewed and modified as needed on this form or new Tier III Form)
Signatures of Participants- Parent: |
Teacher: |
Evaluator: |
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Conference to Review Response to Interventions |
Date_________ |
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Problem resolved. Continue to monitor progress at class level.
Significant progress or resolution of original problem; additional area(s) of deficiency identified; use new Tier II or III form to address new area(s).
Progress being made; current intervention adequate; continue with plan and monitoring of intervention.
Problem not resolved; current interventions not adequate; redesign/modify interventions on new Tier II or III form.
Problem not resolved. Proceed to next IST Tier. Interventions continue while awaiting meeting.
Parent Signature ______________________________________ (Indicates consent for screenings if requested by IST)
If parent did not attend: Method of contact: |
Date: |
By whom: |
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SIGNATURES: Teacher: |
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IST Facilitator: |
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Other: |
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Other: |
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Comments: |
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Distribution: Cumulative Folder, Parent, IST |
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