The Division of the State Architect (DSA) provides a comprehensive suite of forms to support the planning, approval, construction, and certification of public school and community college facilities in California. These forms are organized into series based on their function, facilitating efficient navigation for design professionals, school districts, and contractors.

 

• 1-7 Series
• 90 Series
• 100 Series
• 200 Series
• 300 Series
• 400 Series
• 500 Series
• 600 Series
• 700 Series
• 800 Series
• 900 Series

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1-7 Series

• DSA 1: Application for Approval of Plans and Specifications and Instructions (PDF)
  Revised 01/08/20
• DSA 1-AMM: Request for Alternate Design, Materials and Methods of Construction (PDF)
  Issued 01/31/18
• DSA 1-AMM-PV: Request for Alternate Design, Materials and Methods of Construction (PDF)
  Issued 08/22/23
• DSA 1-INC: Definition of Scope of Increments (PDF)
  Revised 03/10/11
• DSA 1-CP: Application Supplement - Collaborative Process (PDF)
  Revised 01/09/19
• DSA 1-L: Outdoor Water Use Self-Certification of Landscape Irrigation Design and Documentation (PDF)
  Revised 02/17/23
• DSA 1-MR: Application for New Manufactured Permanent Modular or Relocatable Buildings (PDF)
  Revised 04/12/21
• DSA 1-REG: Registration for Project Submittal (PDF)
  Revised 11/13/19
• DSA 1-REH: Pre-Application for Approval of a Rehabilitation Project Evaluation & Design Criteria Report (PDF)
  Revised 02/11/19
• DSA 1-RTI: Request for Finding of Technical Infeasibility (PDF)
  Issued 09/20/24
• DSA 1-RUH: Request for Finding of Unreasonable Hardship and Instructions (PDF)
  Revised 09/20/24
• DSA 1-DEL: Delegation of Responsibility (PDF)
  Revised 01/08/20
• DSA 2: Application for Evaluation of Existing School Building (PDF)
  Revised 02/08/19
• DSA 3: Project Submittal Checklist (PDF)
  Revised 12/01/23
• DSA 4: Application for Review of Eligibility Evaluation Report for the Seismic Mitigation Program and Instructions
  Revised 02/09/18
• DSA 5-AI: Assistant Inspector Qualification and Approval (PDF)
  Revised 07/18/18
• DSA 5-IPI: In-Plant Project Inspector Qualification and Approval (PDF)
  Revised 07/18/18
• DSA 5-PI: Project Inspector Qualification and Approval (PDF)
  Revised 07/18/18
• DSA 5-SI: Special Inspector Qualification and Approval (PDF)
  Revised 07/17/13
• DSA 6 AE: Architect/Engineer Verified Report (PDF)
  Revised 04/15/16
• DSA 6 C: Contractor Verified Report (PDF)
  Revised 10/28/14
• DSA 6 PI: Architect/Engineer Verified Report (PDF)
  Revised 10/28/14
• DSA 6+211 PI: Project Inspector Verified Report with Attachment for Additional Comments/Information (PDF)
  Updated 06/13/19
• DSA 7: Application for Concurrence: Project is Exempt (PDF)
  Revised 09/20/19

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90 Series

• DSA 91: Pre-Application Meeting Request for DSA Oakland Regional Office (PDF)
  Revised 04/01/24
• DSA 92: Pre-Application Meeting Request for DSA Sacramento Regional Office (PDF)
  Revised 04/01/24
• DSA 93: Pre-Application Meeting Request for DSA Los Angeles Regional Office (PDF)
  Revised 04/01/24
• DSA 94: Pre-Application Meeting Request for DSA San Diego Regional Office (PDF)
  Revised 04/01/24
• DSA 95: Project Collaborator Change Request Prior to DSA Approval (PDF)
  Revised 09/25/19

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100 Series

• DSA 100-PRE: Lab Program Preliminary Application and Instructions (PDF)
  Revised 03/13/20
• DSA 102-IC: Construction Start Notice/Inspection Card Request (PDF)
  Revised 01/27/25
• DSA 103: User Guide (PDF)
  Revised 04/07/25
• DSA 103-19: List of Required Structural Tests and Special Inspections, 2019 CBC (PDF)
  Revised 04/07/25
• DSA 103-22: List of Required Structural Tests and Special Inspections, 2022 CBC (PDF)
  Revised 04/07/25
• DSA 108: Change in Delegation of Responsibility and Instructions (PDF)
  Revised 04/30/25
• DSA 109: Transfer of Responsibility - Geotechnical Engineer (PDF)
  Revised 10/30/24
• DSA 119: SAMPLE Project Inspector Performance Review (PDF)
  Revised 12/24/24
• DSA 130: Certificate of Compliance - Accepted Folding and Telescopic Seating Fabricator (PDF)
  Revised 03/30/17
• DSA 140: Application for Submittal of Post-Approval Document (PDF)
  Revised 10/02/19
• DSA 145: Paper Record Set Handling (PDF)
  Revised 05/01/17
• DSA 151: Project Inspector Notifications (PDF)
  Issued 06/01/13
• DSA 152: SAMPLE Project Inspection Card (PDF)
  Revised 04/15/16
• DSA 152 IPI: SAMPLE In-Plant Inspector Card/Verified Report (PDF)
  Revised 10/30/24
• DSA 154: Notice of Deviations/Resolution of Deviations (PDF)
  Revised 05/01/16
• DSA 155: Project Inspector Semi-Monthly Report (PDF)
  Issued 06/01/13
• DSA 156: Commencement/Completion of Work Notification (PDF)
  Issued 06/01/13
• DSA 160: Code Appeal Router (PDF)
  Revised 02/20/14
• DSA 162: Historical Building Code Appeal (PDF)
  Issued 03/18/25
• DSA 168: Statement of Final Actual Project Cost and Instructions (PDF)
  Revised 07/22/15
• DSA 175: Project Inspector Examination Application (PDF)
  Revised 05/14/25
• DSA 177: Special Inspector Examination Application (PDF)
  Revised 07/14/17
• DSA 190: Application for Certification of Excess Flow Automatic Gas Shutoff Valve (EFV) (PDF)
  Revised 05/06/19
• DSA 191: Application for Certification of Earthquake Sensitive Automatic Gas Shutoff Valve (ESV) (PDF)
  Revised 02/09/19

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200 Series

• DSA 201: Soil Compaction (PDF)
  Revised 03/10/25
• DSA 202: Sieve Analysis (PDF)
  Revised 03/10/25
• DSA 203: Tension/Bend (PDF)
  Revised 03/10/25
• DSA 204: Compression (PDF)
  Revised 03/10/25
• DSA 205: Concrete Masonry Unit (PDF)
  Revised 03/10/25
• DSA 206: Anchor Load (PDF)
  Revised 03/10/25
• DSA 207: Masonry Core Shear/Compression (PDF)
  Revised 03/10/25
• DSA 208: High Strength Bolt Test Report (PDF)
  Revised 03/10/25
• DSA 209: Fireproofing Density (PDF)
  Revised 03/10/25
• DSA 210: Ultrasonic (NDT) (PDF)
  Revised 03/10/25
• DSA 211: Attachment for Additional Comments/Information (PDF)
  Revised 07/02/15
• DSA 250: Special Inspection Report (PDF)
  Revised 03/10/25
• DSA 291: Laboratory of Record Verified Report (PDF)
  Revised 04/15/16
• DSA 292: Special Inspectors Employed Directly by the District Verified Report (PDF)
  Revised 02/08/19
• DSA 293: Geotechnical Verified Report (PDF)
  Revised 07/11/22

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300 Series

• DSA 300: AB 300 Seismic Safety Inventory Update (PDF)
  Revised 01/01/11
• DSA 301-N: SAMPLE Notification of Requirement for Certification (with 60-day Notice) (PDF)
  Revised 02/10/15
• DSA 301-P: SAMPLE Notification of Requirement for Certification (PDF)
  Revised 02/10/15
• DSA 302: Response to DSA 301-P Notification of Requirements for Certification (PDF)
  Revised 11/01/19
• DSA 310: Alternate Certification Statement of Content for Change Orders, Addenda and Revisions (PDF)
  Revised 01/08/20
• DSA 311: Request for Examination for Certification Using Education Code 17315(b)/81147(b) (PDF)
  Revised 01/09/19
• DSA 312: Application for Approval of A/E Certification Program (PDF)
  Issued 05/15/15
• DSA 313: DSA Report for A/E Certification Program (PDF)
  Issued 05/15/15
• DSA 314: A/E Certification Program Verified Report (PDF)
  Revised 05/15/15

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400 Series

• DSA 403: Energy Code Compliance Checklist (PDF)
  Issued 06/24/25
• DSA 403 PC-PER: Performance Method - 2022 CALGreen & Energy Code Compliance Checklist for Pre-Checked (PC) Permanent & Modular Relocatable Building Designs (PDF)
  Revised 01/26/23
• DSA 403 PC-PRE: Prescriptive Method - 2022 CALGreen & Energy Code Compliance Checklist for Pre-Checked (PC) Permanent & Modular Relocatable Building Designs (PDF)
  Revised 01/26/23
• DSA 403-C: CALGreen Code Submittal Checklist (PDF)
  Revised 08/13/24
• DSA 450: EDC 17672 Green Schoolyards Compliance Declaration (PDF)
  Issued 01/06/25

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500 Series

• DSA 500: DSA Academy Registration (PDF)
  Revised 02/06/19
• DSA 550: DSA Academy Registration (PDF)
  Revised 02/06/19

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600 Series

• DSA 601: CASp Examination Registration (PDF)
  Revised 07/01/21
• DSA 602: Test Accommodation(s) Request (PDF)
  Revised 07/01/21
• DSA 607: CASp Consumer Complaint (PDF)
  Revised 01/22/18
• DSA 608: Voluntary Listing of CASp Inspected Businesses (HTML)
  Revised 04/07/25
• DSA 609: Disability Access Inspection Certificate Order Form (PDF)
  Revised 04/07/25
• DSA 610: Notice of Access Inspection and 120-Day Grace Period (HTML)
  Revised 04/07/25
• DSA 650: Disclosure of Social Security Number and/or Federal Taxpayer Identification Number (PDF)
  Revised 07/01/21
• DSA 665: DSA Code Amendment Proposal (PDF)
  Revised 11/01/17
• DSA 670: Access Code Collaborative Membership Application (PDF)
  Revised 04/12/22

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700 Series

• DSA 786: Disability Access and Education Fee Quarterly Report (HTML)
  Revised 04/07/25
• DSA 787: Disability Access and Education Fund Annual Report (HTML)
  Revised 04/07/25

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800 Series

• DSA 810: Fire & Life Safety Site Conditions Submittal (PDF)
  Revised 12/29/20
• DSA 811: Fire & Life Safety Qualifying Experience Matrix (PDF)
  Issued 09/08/23

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900 Series

• DSA 999: Inspection Verified Report for Projects Exempt from DSA Approval (PDF)
  Revised 01/06/09