IMPACT AID PROGRAM
 SECTION 8003 PAYMENT CALCULATION ESTIMATE WORKSHEET
Enter data into the fields that have the arrow arrow next to them, in Part (A, B, C) To print this page, for best results use the landscape format.

Part A
Date:
Applicant Name: arrow
Applicant Number: arrow
Fiscal Year: arrow
District Membership: arrow
TCE: $ arrow
LCR: $ arrow
FY 2000 BSP & 8003(f): $ arrow
Attendance Ratio: arrow
LOT Proration: % arrow
CWD Rate: $ arrow
Late Applicant?: arrow
Prior-year ADA from prior-year application: arrow
National or State Average Per Pupil Expenditure: $ arrow
Applicant Per Pupil Expenditure: $
3% or 400 ADA Eligibility:
LOT: %
Membership: %
TCE: %
F&G Eligible?:
Prior Payment
8003(b) BSP: $ arrow
8003(d) CWD: $ arrow
Late Application Reduction: $ arrow
Total: $
Current Payment
$
$
$
$
 

Part B Section 8003(b) Basic Support Payment
Sub Section
Table Child Category Federal Membership ADA Weight WSU LCR Maximum Basic Support Payment LOT Payment at 100% Proration LOT Payment
(A)(i) 3 Resides on Federal property; parent is employed on Federal property located within the LEA.
 arrow $ $ $
(A)(ii) 1 & 3 Resides on Federal property; parent is an accredited foreign official and is a military officer.
 arrow $ $ $
(B) 1 & 3 Resides on Federal property; parent is in the uniformed services of the United States.
 arrow $ $ $
(C) 1 & 3 Resides on Indian lands.
 arrow $ $ $
(D)(i) 2 & 5 Parent is in the uniformed services of the United States; does not reside on Federal property.
 arrow $ $ $
(D)(ii) 2 & 5 Parent is an accredited foreign official and is a military officer; does not reside on Federal property.
 arrow $ $ $
(E) 4 Resides in low-rent housing.
 arrow $ $ $
(F) 4 Resides on Federal property.
 arrow $ $ $
(G)(i) 5 Parent is employed on Federal property located within the county, or within the LEA if the LEA is in more than one county; does not reside on Federal property.
 arrow $ $ $
(G)(ii) 5 Parent is employed on Federal property located out of the county, but within the State; does not reside on Federal property.
 arrow $ $ $
ESTIMATED TOTALS:
 $ $ $
Part C Section 8003(d) Children With Disabilities Payment
Sub Section
Table Child Category Federal Membership ADA Weight WSU CWD Rate CWD Payment Payments
(A)(ii) 1 Resides on Federal property; parent is an accredited foreign official and is a military officer.
 arrow $ 8003(b) BSP:
Hold_Harmless:		 $
$
(B) 1 Resides on Federal property; parent is in the uniformed services of the United States.
 arrow $ 8003 (d) CWD: $
(C) 1 Resides on Indian lands.
 arrow $ Late Application Reduction: $
(D)(i) 2 Parent is in the uniformed services of the United States; does not reside on Federal property.
 arrow $ Total: $
(D)(ii) 2 Parent is an accredited foreign official and is a military officer; does not reside on Federal property.
 arrow $ Prior payments: $
ESTIMATED TOTALS:
 $ Current payment: $




This worksheet is an ESTIMATE ONLY and is not a guarantee of a future payment to be made to the applicant. The applicant MUST NOT rely on future payments until funds are certified for payment by the U.S. Department of Education.

Return to Impact Aid Section 8003 - Payments for Federally Connected Children: Resources