Get Slla/ssa Reimbursement Form

Completing the SLLA/SSA reimbursement form online is a straightforward process that allows eligible candidates to request reimbursement for their assessment fees. This guide will provide step-by-step instructions to help you navigate the form efficiently.

Follow the steps to successfully complete the reimbursement form.

1. Click ‘Get Form’ button to access the reimbursement form and open it in the designated editor.
2. Fill in your name and Social Security number in the appropriate fields. Ensure that the information is accurate as it will be used for identification purposes.
3. Provide your home mailing address, including city, state, and zip code, so that the Arkansas Department of Education can contact you if needed.
4. Enter your home and work phone numbers, along with your email address. This information is crucial for communication regarding your reimbursement request.
5. Indicate the program of study institution where you are enrolled or have completed your studies. This will verify your eligibility for the reimbursement.
6. Select the school leadership series assessment you have taken by checking one of the boxes provided: either the School Superintendents Assessment (SSA) or the School Leaders Licensure Assessment (SLLA).
7. If you are an Arkansas Department of Education employee, mark the indicator box and ensure you have prior written approval from the Commissioner to submit this form.
8. Collect and attach the required documentation including a copy of the official score report, verification of payment, and a completed W-9 form.
9. Review all entries for accuracy and completeness before saving, downloading, printing, or sharing the form as necessary for submission.

Complete your SLLA/SSA reimbursement form online today to ensure you receive your assessment fee reimbursement promptly.