STAC-202 Form

New York State Education Department

The STAC-202 form indicates that a student has been designated as homeless, and specifies the name of the district the student will be attending. It is also used by local districts to request reimbursement from NYSED for the costs of education a temporarily housed student who moves into the district from another school district in New York State.

In accordance with Federal and State legislation, all personally identifiable information (PII) must be sent to the STAC Unit via one of the following approved modes of transmission:

SED File Transfer Manager (FTM): Sign Up for access to SED File Transfer Manager here. Log in here.
Fax to (518) 402-5047, with notification to the recipient of when the information will be sent.
US Mail 1st Class/Priority, or with another service with tracking (UPS, DHL, or FedEx).

STAC-202 (Fillable PDF)

STAC-202 En Espanol (PDF)

Highlighted Resources

GUIDES & FACT SHEETS

HIGHLIGHTED RESOURCES

Tip Sheet: Navigating Challenging Conversations

NYS-TEACHS

This tip sheet from NYS-TEACHS guides the user through best practices for having conversations about housing status with families. We provide best practices for common scenarios.

GUIDES & FACT SHEETS

HIGHLIGHTED RESOURCES

Quick Tip Sheet Series

NYS-TEACHS

Our Quick Tip Sheets provide detailed information about the rights of students experiencing homelessness in a one-page format. Each guide is targeted to a specific school role.

FORMS & TEMPLATES

HIGHLIGHTED RESOURCES

Housing Questionnaire

New York State Education Department

The Housing Questionnaire should be used by all school districts as the first page of the enrollment packet for all newly enrolling students. It should also be given to all students/families any time they report a change of address. The New York State Education Department (NYSED) requires all LEAs that receive Title I funds (including school districts, charter schools, and BOCES) to use the Housing Questionnaire. NYSED also encourages all other LEAs to use the Housing Questionnaire because it asks about students’ living arrangements in order to identify students experiencing homelessness in the school district.