CIMC Registration of School-Aged Students (ages 3-21)

The CIMC asks that teachers of students with visual impairments (TVIs) do 4 things every school year:

Step 1 Step 2 Step 3 Step 4
Register your students with visual impairment, including blindness (VIIB) the day vision services begin in your Administrative Unit (AU) or school district.

 

Registration forms may be submitted every day of the year.

Exit your students with VIIB the day vision services stop or the student is withdrawn from your school district.

 

Exit forms may be submitted every day of the year.

Update your statewide registration database report.

Administrative Units will be asked to edit your statewide registration database report to reflect any changes that have taken place (new registrations, exit forms, updated eye exam dates, updated signed parent consent forms, updated MDB/FDB forms, etc.).

Your statewide registration database report may be updated every day of the year.

Update your Federal Quota Census Count information to reflect the current count cycle which occurs on the 1st Monday in January, annually.

Look at your statewide registration database report and identify those students who meet the eligibility requirements of the Federal Quota Census (see below).

You notify the CIMC which students should be included in the current January Federal Quota count.

Your district must have a current eye health report on file which verifies legal blindness along with a signed parent consent form.

Statewide Registration Form:

VIIB Registration Form (in Word format) use this form to type directly onto the form

VIIB Registration Form (in PDF format) use this form to print and write directly on the document with a pen

VIIB Registration Form (in Plain Text format) use this form if you are using screen reading software

 

Parent Consent Form:

CIMC Parent Consent form (English)*revised January 2020

CIMC Parent Consent Form (Spanish)*revised January 2020

 

MDB/FDB Form:

CIMC MDB/FDB form *revised December 2019

 

CIMC Exit Form:

EXIT FORM Word use this form to type directly onto the form

EXIT FORM PDF use this form to print and write directly on the document with a pen

EXIT FORM Plain Text use this form if you are using screen reading software

 

Information Related to the VIIB Statewide Database Reports/Forms

Count Day Instructions 2020

VIIB Database Report Directions

How To Read Your VIIB Database Report