Input Record Type Code	District ID	Student ID	Campus ID of Restraint Event	Restraint Instance Number	Instructional Setting Code	Reporting Period Indicator Code	Restraint Reason Code
E0755	E0212	E0001	E1032	E1035	E0173	E0934	E1033
C042					C035	C130	C173
Columns 1 - 3	Columns 4 - 9	Columns 10 - 18	Columns 19 - 27	Columns 28 - 33	Columns 34 - 35	Column 36	Columns 37 - 38
435
435

435

Primary Disability Code	Date of Restraint Event	Filler
E0041	E1034
C053
Columns 39 - 40	Columns 41 - 48	Columns 49 - 80

  Only students with disabilities served by the special education program who are restrained for emergency purposes and who also have a 405 record or a 400 record with mainstream days reported will have a 435 record reported. Each instance of restraint for a student with a disability served by the special education program as referenced above must be reported through the 435 record.

  The Texas School for the Deaf, Texas School for the Blind and Visually Impaired and the Texas Youth Commission are also required to report 435 records for their respective populations related to restraint events that occur within the educational program of the school and subject to any limitations imposed by TEC 37.0021.

  Data elements DISTRICT-ID, STUDENT-ID, INSTRUCTIONAL-SETTING-CODE, REPORTING-PERIOD-INDICATOR-CODE, and PRIMARY-DISABILITY-CODE are to be used on the record according to previously established definitions. The code entered on the record should reflect current data for the student as of the time the restraint occurs.

  CAMPUS-ID-OF-RESTRAINT-EVENT indicates the unique campus identification number of the campus within the district at which a special education student was restrained. This campus ID may or may not reflect the campus ID where the special education student was enrolled but does reflect the campus ID at which the special education student was restrained. If the restraint instance does not take place on a school campus, the CAMPUS-ID-OF-RESTRAINT-EVENT should reflect the CAMPUS-ID-OF-ENROLLMENT for the student. If the restraint occurs on a JJAEP campus, the corresponding restraint record must be reported by the student’s home district and campus.

  RESTRAINT-INSTANCE-NUMBER indicates a restraint instance that occurs on a campus. It allows a district or campus to assign a unique identification number to a restraint event to distinguish between multiple instances of restraint that might occur at the same school on the same date for a given student with a disability.

  RESTRAINT-REASON-CODE information reflects the reason for restraint as related to requirements established under 19 TAC §89.1053(b)(1) and §89.1053(c).

19 TAC §89.1053(b)(1):

(b) Definitions.

(1) Emergency means a situation in which a student's behavior poses a threat of:

(A) imminent, serious physical harm to the student or others; or

(B) imminent, serious property destruction.

19 TAC §89.1053(c) [excerpt]:

(c) Use of restraint. A school employee, volunteer, or independent contractor may use restraint only in an emergency as defined in subsection (b) of this section and with the following limitations.

  DATE-OF-RESTRAINT-EVENT reflects the actual date on which a student with a disability was restrained based on the definitions shown above.

  The number of 435 records submitted for a student must match the documentation found in the student’s special education eligibility folder. There is an expectation that the number of 435 records submitted should match the total documentation contained in all student folders regarding the use of restraint for emergency purposes. A comparison of the number of PEIMS 435 records submitted and folder documentation will be subject to monitoring and audit activities.

  The 435 record will be collected in Submission 3.