OEAA Test Misadministration Complaint

This form is to be used to report improper testing procedures and or practices for any of the Office of Educational Assessment and Accountability’s (OEAA) test administrations including ACT WorkKeys, Early Literacy and Mathematics Benchmark, MI-Access, M-STEP, PSAT© 8/9, SAT© with Essay, and WIDA ACCESS/Alternate ACCESS for ELLs.

Under the Freedom of Information Act, the MDE is not allowed to maintain the confidentiality of a witness if they identify themselves. If you wish to remain anonymous, you should not give the OEAA any personally identifiable information. Anyone reporting in good faith what they believe to be a violation of test administration rules may be protected under the Michigan Whistleblower's Act.

If you have already made an allegation report of a specific incident, then a second report is not needed. Please note, if you choose to remain anonymous then there is no way for the OEAA to follow up with you directly about this incident and we may be unable to follow up on the incident at all due to lack of information.

Under current state law, MDE does not have authority to review or investigate local personnel matters between employees and/or supervisors in a local district.

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* 1. School District

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* 2. School Name

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* 3. Select the assessment that this incident involves.

ACT WorkKeys

Early Literacy and Mathematics Benchmark Assessment

MI-Access

M-STEP

PSAT 8/9

SAT with Essay

WIDA ACCESS for ELLs

WIDA Alternate ACCESS for ELLs

Other

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* 4. Select the grade level that this incident involves.

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Ninth Grade

Tenth Grade

Eleventh Grade

Twelfth Grade

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* 5. Approximate date and time when incident occurred

Date / Time

Date

Time

AM/PM

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* 6. Where did this incident take place?

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* 7. Please enter a description of the incident that you are reporting.

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* 8. How did you learn about this incident?

Witnessed

Student reported

Staff reported

Other (please specify)

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* 9. Was this incident discussed with anyone in the school or district?

Yes

If yes, please indicate with whom and what was discussed.

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* 10. What role do you serve in this district/school where the incident occurred?

Employee

Student

Parent/Guardian

Community member

Other (please specify)

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* 11. Please provide your contact information (Optional). You may leave this blank if you wish to remain anonymous. If you remain anonymous, we may not have sufficient information to proceed with an investigation if we are unable to follow-up with you.

Name

Street Address

City

State

Phone Number

Email Address