This document presents a five-step process for schools, districts, and states to use in monitoring accommodations for instruction and assessment. This document was designed to be a companion to the "Council of Chief State School Officers' Accommodations Manual: How to Select, Administer, and Evaluate Use of Accommodations for Instruction and Assessment of Students with Disabilities" (2005). The guidance in this manual applies to students with disabilities who participate in large-scale assessments and the instruction they receive. The five steps are: (1) Know the Rules and Regulations for Accommodations; (2) Document Decisions about Accommodations; (3) Document the Use of Accommodations; (4) Review Accommodations Decisions and Use; and (5) Evaluate and Report on Accommodations. Each step provides monitoring questions to ask, current examples from states, samples of forms that might be used, a checklist for evaluating your state's activities for each step, and space for action planning and questions. The following are appended: (1) IEP Forms; (2) Student Demographic Forms; (3) Certification Forms; (4) On-Site Monitoring Forms; and (5) Glossary of Accommodations Monitoring Terms. (Contains 33 tables. Invidual sections contain lists of resources.) [This project was commissioned by the State Collaborative on Assessment and Student Standards (SCASS) Assessing Special Education Students (ASES) consortium. The project was completed with partial support between the University of Minnesota, National Center on Educational Outcomes and the Research to Practice Division, Office of Special Education Programs, U.S. Department of Education.]