Count Day Forms
Below are links to the required pupil accounting forms for the Fall and Spring count day audits.
Building Level columns indicates which building is responsible for the forms. When “District” is identified, this means that ONE form is completed and uploaded into Moodle once for the whole district.
Items that are highlighted in PURPLE, are items that comes from Michigan Department of Education (MDE).
Items that are highlighted in ORANGE, are forms that can be printed from MSDS.
Items that are highlighted in GREEN, are forms that can be printed from PowerSchool.
Building Level | MOODLE Section Number | Section/Documentation Name | Building Level | MOODLE Section Number | Section/Documentation Name |
District | 1-B | Count Day Waiver (From MDE) | Cyber | 1-A | Required Documentation List |
District | 1-B | Days & Clock Hour Waiver (From MDE) | Cyber | 1-B | Count Day Waiver (From MDE) |
District | 1-B | Offline Seat Time Waiver (From MDE) | Cyber | 1-B | Days & Clock Hour Waiver (From MDE) |
District | 1-C | Certified MSDS Alpha List (Pupil Membership) Report (MSDS) | Cyber | 1-B | Offline Seat Time Waiver (From MDE) |
District | 1-D | DS-4061 (MSDS) | Cyber | 1-C | Certified MSDS Alpha List (Pupil Membership) Report (MSDS) |
District | 2-B | Local District Planning Form | Cyber | 1-C | Alphabetized Membership Report (MSDS report) |
District | 2-B | Documentation for Changes (Question #3) | Cyber | 1-D | DS-4061 (MSDS report) |
District | 2-F | Retention Policy | Cyber | 1-E | Birth Certificate Verification Form |
ELE/MS/HS/SPED | 1-A | Required Documentation List | Cyber | 1-E | Birth Certificate Supporting Documentation (e.g., letters, phone logs, etc.) |
ELE/MS/HS/SPED | 1-C | Alphabetized Membership Report (MI Official Enrollment Student Roster) | Cyber | 1-F | Absent on Count Day (Non Participation) 10/30 Day |
ELE/MS/HS/SPED | 1-E | Birth Certificate Verification Form | Cyber | 1-F | Attendance Codes – Showing excused/unexcused |
ELE/MS/HS/SPED | 1-E | Birth Certificate Supporting Documentation (e.g., letters, phone logs, etc.) | Cyber | 1-F | Absence Verification (phone logs, notes, etc.) |
ELE/MS/HS/SPED | 1-F | Count Day Absence Report (MI 10/30 Day – By Period) | Cyber | 1-G | Drop and Add Record (MSDS report – Exit Status Count) |
ELE/MS/HS/SPED | 1-F | Attendance Codes (PowerSchool – sqlReports – Count Day Reports) | Cyber | 1-H | Electronic Notebook Certification |
ELE/MS/HS/SPED | 1-F | Absence Verification (phone logs, notes, etc.) | Cyber | 2-A | Enrollment Summary (MSDS report – Gender/Race/Ethnicity Count) |
ELE/MS/HS/SPED | 1-G | Drop and Add Record (MI Exit-Transfer-In) | Cyber | 2-B | Local District Planning Form |
ELE/MS/HS/SPED | 1-H | Electronic Notebook Certification | Cyber | 2-B | Documentation for Changes (Question #3) |
ELE/MS/HS/SPED | 1-I | Electronic Pupil Attendance Certification | Cyber | 2-C | Graduation Requirements |
ELE/MS/HS/SPED | 2-A | Enrollment Summary (Enrollment Summary) | Cyber | 2-D | District Course Catalog |
HS | 2-C | Graduation Requirements – District Policy | Cyber | 2-E | Master Teacher Schedule |
ELE/MS/HS/SPED | 2-D | District Course Catalog | Cyber | 2-F | Retention Policy |
ELE/MS/HS/SPED | 2-E | Master Teacher Schedule (Master Schedule – PDF) | Cyber | 2-F | Attendance Policies – District Policy |
ELE/MS/HS/SPED | 2-F | Attendance Policies – District Policy | Cyber | 3-A | Attendance Records – (October 5 – November 6) |
ELE/MS/HS/SPED | 3-A | Attendance Records-Week 1 (Weekly Attendance Summary Meeting) | Cyber | 3-C | Pupil Class Schedules |
ELE/MS/HS/SPED | 3-A | Attendance Records-Week 2 (Weekly Attendance Summary Meeting) | Cyber | 3-D | District Calendar Days Calculations |
ELE/MS/HS/SPED | 3-A | Attendance Records-Week 3 (Weekly Attendance Summary Meeting) | Cyber | 4-A | Special Education Worksheet B |
ELE/MS/HS/SPED | 3-A | Attendance Records-Week 4 (Weekly Attendance Summary Meeting) | Cyber | 5-B | Cooperative Education Program (CTC) |
ELE/MS/HS/SPED | 3-A | Attendance Records-Week 5 (Weekly Attendance Summary Meeting) | Cyber | 5-G-A | Postsecondary and Career and Technical Education Dual Enrollment |
ELE/MS/HS/SPED | 3-B | Proof of 75% Attendance (MI 75% Membership) | Cyber | 5-G-B | Early/ Middle College |
ELE/MS/HS/SPED | 3-C | Pupil Class Schedules (Student Schedule Listing) | Cyber | 5-G-B | Early/Middle College Invoices |
ELE/MS/HS/SPED | 3-D | Scheduled Daily Clock Hours of Instruction | |||
ELE/MS/HS/SPED | 3-E | Scheduled Days of Instruction | |||
ELE/MS/HS/SPED | 3-E | District Calendar Showing School Year Calendar | |||
ELE/MS/HS/SPED | 3-E | Exam Certification Form | |||
ELE/MS/HS/SPED | 4-A | Special Education Worksheet A (MI Worksheet A) | |||
ELE/MS/HS/SPED | 4-A | Special Education Worksheet B (MI Worksheet B) | |||
ELE/MS/HS/SPED | 4-B | Non-Resident (District Released (06)) | |||
ELE/MS/HS/SPED | 4-B | District Release Applications | |||
HS | 5-A | Alternative Education Programs Pupil List | |||
HS | 5-B | Cooperative Education Program (CTC) | |||
HS | 5-B | CTE Teacher Academy Files (timesheet, agreement) | |||
ELE/MS/HS/SPED | 5-C | Home Based Education Pupils | |||
ELE/MS/HS/SPED | 5-C | Home Based Educational Services Teacher Log | |||
ELE/MS/HS/SPED | 5-C | Home Based Education Letter from District | |||
ELE/MS/HS/SPED | 5-D | Homebound/Hospitalized Pupils | |||
ELE/MS/HS/SPED | 5-D | Homebound/Hospitalized Teacher Log | |||
ELE/MS/HS/SPED | 5-D | Homebound/Hospitalized MD/DO Doctor Note | |||
ELE/MS/HS/SPED | 5-E | Nonpublic and Home Schooled Pupils | |||
ELE/MS/HS/SPED | 5-E | Non-Public Shared Time & Home Schooled FTE Calculation Form | |||
ELE/MS/HS/SPED | 5-E | Non-Public Shared Time & Home Schooled at Non-Public School Pupil List | |||
ELE/MS/HS/SPED | 5-E | Non-Public Shared Time & Home Schooled at Public School Pupil List | |||
ELE/MS/HS/SPED | 5-F | Part-Time Pupils | |||
HS | 5-G-A | Postsecondary and Career and Technical Education Dual Enrollment | |||
HS | 5-G-B | Early/ Middle College | |||
HS | 5-G-B | Early/Middle College Invoices | |||
HS | 5-G-C | Postsecondary Gifted & Talented Program | |||
HS | 5-H | Reduced Schedule Pupils | |||
HS | 5-H | Reduced Schedule Pupil Applications | |||
ELE/MS/HS/SPED | 5-H | SE Pupils Less Than Full Day Schedule Per IEP | |||
ELE/MS/HS/SPED | 5-H | IEP showing reduced schedule requirements | |||
ELE/MS/HS/SPED | 5-I | Sections 105 (02) and 105C (03) Schools of Choice | |||
ELE/MS/HS/SPED | 5-I | Cooperative Agreement (For 105c/Special Education) | |||
ELE/MS/HS/SPED | 5-I | Schools of Choice Applications | |||
SPED | 5-K | Early Childhood 1754 Attendance Form | |||
SPED | 5-K | Early Childhood 1755 Attendance Form | |||
SPED | 5-K | Early On 1862 Attendance Form | |||
HS/SPED | 5-L | Special Education Pupil Transition Services | |||
HS/SPED | 5-L | Special Education Transition Services Teachers Log | |||
HS/SPED | 5-L | Training Agreement/Plan/Progress Report | |||
MS/HS | 5-M | Split-Schedule Pupils | |||
ELE/MS/HS/SPED | 5-N | Suspension & Expulsion | |||
ELE/MS/HS/SPED | 5-O-A | Distance Learning (K-12) & Independent Study (9-12) | |||
ELE/MS/HS/SPED | 5-O-B | Offline Seat Time Waiver/Project-Based Learning | |||
ELE/MS/HS/SPED | 5-O-B | Offline Seat Time Waiver Mentor Instruction Time Form | |||
ELE/MS/HS/SPED | 5-O-D | Virtual Learning Options | |||
ELE/MS/HS/SPED | 5-O-D | Pandemic Learning Pupil List (2020-2021) | |||
ELE/MS/HS/SPED | 5-O-D | Pandemic Learning Teacher Contact (2020-2021) | |||
ELE/MS/HS/SPED | 5-O-D | Virtual Learning Mentor Contact Form | |||
ELE/MS/HS/SPED | 5-O-D | Virtual Learning Invoices | |||
ELE/MS/HS/SPED | 5-O-D | Attendance Documentation for Virtual Learning Pupils (Two-Way Communications) | |||
HS/SPED | 5-P | Work-Based Learning Experiences, Apprenticeships, and Internships | |||
HS | 5-P | Work-Based Learning Experiences GE Pupil Timesheet | |||
HS/SPED | 5-P | Work-Based Learning Experiences SE Pupil Timesheets | |||
HS/SPED | 5-P | Work-Based Learning Experiences, Apprenticeships, and Internships Pupil Training Plan and Agreement | |||
HS | 5-Q-A | Section 23a Dropout Recovery Program | |||
HS | 6-A | Experiential Learning Courses | |||
MS/HS | 6-B | Peer-to-Peer Elective Course Credit Program |