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NYSSB Seal Request Form

The Seal Request form is used to notify the New York State Education Department (NYSED) of the number of Seal stickers and medallions requested for the school’s New York State Seal of Biliteracy (NYSSB) program and the address to which they should be sent.  The Office of Bilingual Education and World Languages (OBEWL) will provide the Seal stickers to be placed on the diplomas, medallions for students to wear at graduation, and certificate templates at no charge.  

New York City Department of Education (NYCDOE) public schools should contact the Division of Multilingual Learners ( in the spring to plan to complete this form.  All other schools outside of the NYC area (including NYC Charter Schools) should submit this form electronically by May 31st.

In order to receive the Seal stickers and medallions, schools must also email a correctly completed End-of-Year Data form to  Schools may anticipate* students who will earn the NYSSB and then follow up with amended Seal Request and End-of-Year Data forms when final grades/scores have been received by no later than July 15th of each year (see notes on subsequent section).

Submission is done via an online form accessible at the following link.  It is recommended to download a template of the Seal Request Form in either Word or PDF (see downloadable documents at the bottom of this page) so as to see the data that needs to be collected before filling out the online form.

Because schools need time to prepare graduation materials prior to final grades/scores being available, the school should anticipate students who will earn the NYSSB and submit this form by May 31st.  For example, if a student plans to earn a point using an Advanced Placement (AP) exam taken in May of the senior year, the score will not be available until July.  The school in this case should consult with the student’s subject area AP teacher to anticipate whether the student will meet the criteria to determine the total number of Seal stickers and medallions to order on this form.  The school will keep the Seal stickers and medallions and only award them upon successful completion of ALL criteria.  This may mean that the school will have to hold on to some Seals and medallions until after the release of such scores in mid-July. 

All schools should make a final determination of which students earned the NYSSB by no later than July 15th.  If there were changes in the students who were anticipated to earn the NYSSB between the submission of the End-of-Year Data form by May 31st and this final determination, the school must submit an amended End-of-Year Data form by July 15th.  Any changes should be highlighted in a different color.

The number of students receiving the NYSSB reported on this form must be only graduating seniors.  Students are only reported on the Seal Request and End-of-Year Data forms in the year in which they are graduating – juniors are never reported on these forms.