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Albert Shanker Grant-District Reimbursement

This form must be submitted by district personnel between August 2, 2021 through November 5, 2021. Please list all (2019-2020) candidates you are requesting reimbursement for and submit one form per district. The form must be completed and submitted online.

District Superintendent Attestation Form

To receive reimbursement follow the steps below:

  • Download the Attestation Form 
  • Print, sign and complete the Form
  • Scan and email the Attestation Form to : shankergrant@nysed.gov with the subject “District Reimbursement”
  • Mail an original signed Attestation Form to the address listed on the Form
 
1 Start 2 Complete

Name each Albert Shanker candidate in your district pursuing NBC in 2019-2020 and indicate reimbursement request:

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Budget Summary:
Please describe all applicable expenditures below and their cost. Codes correspond with NYS FS-10 form.

District Superintendent Attestation Form

Download, print and submit the District Superintendent Attestation Form for reimbursement via email to shankergrant@nysed.gov and mail a hard copy of the Attestation form to the address listed on the form.