NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES
BISMARCK, NORTH DAKOTA
September 14, 2010

	PI- 10-19

TO:		Directors, County Social Services
		Regional Supervisors
		Division of Juvenile Services
		Tribal Social Services

FROM:	Dean Sturn, Administrator, Foster Care

SUBJECT:	School District Notification of Student Placement

PROGRAMS:	Foster Care Maintenance Payments, 623-05-20-70-10

RETENTION: 	Until Manualized

Recently, the Dept. of Public Instruction released a new on-line application which allows State Agencies and licensed facility administrators to send the “School District Notification of Student Placement”, SFN 18119, which notifies the local school administrators and the educating school, by email, when a student has been placed outside of their school district. Electronic submission is prompt, cost-efficient, and easily accessible by both the placing agency and local school districts. Because of this, electronic submission is also the preferred method of submission.   

The application requires you to establish a ND State login ID, and link this ID to your placing agency.  Additional instructions and training information is available on the attached information sheet. If you should have any questions or concerns, do not hesitate to contact me or Kim Vega, Department of Public Instruction, at (701)328-2461.

Attachment: Instructions
Attachment to PI 10-19, dated September 14, 2010

School District Notification of Student Placement, SFN 18119 – has recently been updated to allow notifying agencies the ability to create and send the form by an electronic notification application. The electronic version is the recommended submission method. 
 
Training for the site can be accessed at: http://www.dpi.state.nd.us/speced/
The training video titled: Login Setup and Service Rates 13min and Notification 6 min, are videos which will be the most useful to the notifying agencies. Also, a PowerPoint Slide is available under the District of Notification Section. Note: (wmv) indicates a Windows media video, which is available as a viewing option. 

Electronic Notification system can be accessed at: 
https://secure.apps.nd.gov/dpi/ndteach/sclogin.aspx
Current users of State of ND applications may already have a Login ID created. Login ID users who have forgotten their ID’s, or have forgotten their passwords, will have a link on the sign-in page which will provide assistance. If you do not have access to the site, you will need to create a login ID. This can be done by clicking on the link labeled “Register Now”. You will be asked to provide your name, company name, address, email and other security questions which help identify the user. 
Please save the websites as a bookmark or a favorite for future reference.  

Contacts for Electronic Notification System – IMPORTANT - After you have established your login, please call Kim Vega, (701) 328-2175 or Kenneth Steiner, (701) 328-1678 to attach your Login ID to your agency or entity. 

PURPOSE OF THIS FORM
North Dakota Century Code section 15.1-29-14 establishes the requirements for residency determination and payment of tuition for students placed for non-educational purposes. Eligible placements are those made by a state court, tribal court, juvenile services or county/state social service agencies into a state-licensed foster home, state-licensed child care home or facility, or a state-operated institution. Students placed voluntarily by a parent or legal guardian into a state-licensed child care home, facility, or program defined in sections 25-01.2-01 and 50-11-00.1 that are located outside the student’s school district of residence are also eligible. The placing agency is required to provide timely notification of the initial placement and all subsequent placements to the student’s school district of residence and to the admitting school or district. The placing agency is also required to provide notice of the placement as of September 15th of each year. Once established the resident district remains unchanged until the following September 15th.

This form serves as the official documentation for the notification process.

INSTRUCTIONS FOR COMPLETING THIS FORM
Part I – Purpose of Notification
Check the box indicating the purpose of this form. This form must be completed at the initial placement, all subsequent
placements into a new school or district and annually at September 15th.
Part II – Student Placement Information
Use this section to identify information relating to the student’s placement including the school where the student attends
during placement, the name and address of the party with legal custody, and custody order, placement and discharge dates
(as applicable).
Part III – Residency Determination – Payment of Tuition
This section is used to determine the resident district responsible for the educational costs for the student. A student’s school
district of residence is the district in which the student’s custodial parent resides. The Department of Public Instruction will be
the party responsible for tuition in cases where the parent relocates out of state, a court has ordered the termination of
parental rights, the student no longer has a custodial parent, or all reasonable efforts to locate a parent of legal guardian have
been unsuccessful. Consult North Dakota Century Code section 54-01-26 for rules for determining residence.
Part IV – Agency Responsible for Notification
Enter the name of person completing this form and their contact information. The notice must be sent to the admitting
school/district and the party identified with tuition responsibility. The preparer should also maintain a copy for their records.
The notice may be transmitted on paper or electronically. Keep in mind that information transmitted on this form is confidential
and is protected by student record laws.