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How do I fill this out?

To fill out this form, begin by identifying the educational entity requesting access. Ensure all required fields are accurately completed with clear information. Finally, have the authorized individual sign the form to validate the request.

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How to fill out the Request Form for Online Access to STAC Database?

  1. 1

    Identify the agency name and type of education entity.

  2. 2

    Provide the 12-digit SED (BEDS) code for the educational entity.

  3. 3

    Fill out consultant-user information, including name and email.

  4. 4

    Select appropriate STAC Approvals and Verifications.

  5. 5

    Ensure the form is signed by the authorized representative.

Who needs the Request Form for Online Access to STAC Database?

  1. 1

    School Districts need this form to authorize consultants for data access.

  2. 2

    Municipalities require this form to manage educational contracts.

  3. 3

    SED-approved educational providers use this form to ensure compliance with data access policies.

  4. 4

    Program Directors must document access requests to maintain confidentiality.

  5. 5

    County Representatives need to manage and verify consultant actions.

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    Share the revised PDF with relevant parties.

What are the instructions for submitting this form?

Submit the completed form via email to OMSSTAC@nysed.gov or fax it to (Area Code). If sending through regular mail, address to STAC/Medicaid Unit, The University of the State of New York, THE STATE EDUCATION DEPARTMENT. It is important to ensure all signatures are complete to avoid rejection of the submission.

What are the important dates for this form in 2024 and 2025?

For 2024, ensure all consultant access requests are submitted before January 15. In 2025, the same submission deadline applies. Timely submission helps maintain continuous access for your consultants.

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What is the purpose of this form?

The purpose of this form is to facilitate authorized access to the STAC database for designated consultants. It ensures compliance with various federal and state privacy regulations. By completing this form, educational entities actively manage their consultant relationships and data access permissions.

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Tell me about this form and its components and fields line-by-line.

This form includes several fields necessary for proper authorization and identification of users.
fields
  • 1. Agency Name: The name of the educational entity requesting access.
  • 2. SED (BEDS) Code: The unique 12-digit code assigned to the educational entity.
  • 3. Consultant-User Information: Names, emails, and firms of consultants needing access.
  • 4. STAC Approvals: Options for specifying the type of approval needed.
  • 5. Signatures: Authorized signatures needed for validation.

What happens if I fail to submit this form?

Failing to submit this form will prevent consultants from accessing the STAC database. This may lead to delays in important educational programs and compliance issues. It is crucial to keep consultant access active through timely submissions.

  • Unauthorized Access: Without submission, unauthorized individuals may access sensitive data.
  • Compliance Issues: Failure to submit can result in violations of privacy laws.
  • Consultant Disruption: Consultants may face interruptions in their services if not authorized.

How do I know when to use this form?

Use this form when you need to authorize a consultant for accessing the STAC database. It’s important for compliance with educational regulations. Ensure proper completion and timely submission for continued access.
fields
  • 1. New Consultant Access: When bringing new consultants on board for database access.
  • 2. Access Rights Changes: To modify or update existing consultant access rights.
  • 3. Consultant Replacement: When replacing an exiting consultant with a new hire.
  • 4. Annual Reauthorization: As part of yearly administrative compliance procedures.
  • 5. Emergency Access Requests: When urgent consultant access is needed for educational services.

Frequently Asked Question

What is this form for?

This form is used for educational entities to request online access for their consultants.

Who needs to complete this form?

Superintendents, Program Directors, or Municipal Representatives must complete this form.

How do I submit this form?

The completed form can be submitted via email to OMSSTAC@nysed.gov.

When do I need to reauthorize access?

Consultant accounts need reauthorization each year before January 15.

Can I edit this form?

Yes, PrintFriendly allows you to edit the form before submitting.

What information do I need?

You will need the agency name, SED code, and consultant details to fill out this form.

Is there a deadline for this form?

Ensure to submit the form for access requests before the yearly deadline.

What happens if I don't submit this form?

Failure to submit may result in consultants being unable to access necessary STAC data.

Can I save changes to this form?

You can download the edited form after making changes.

What if I forget my Usercode?

Contact SED for assistance with recovering your Usercode.

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Request Form for Online Access to STAC Database

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