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English learners (ELs) comprise approximately 10% of Kindergarten to Grade 12 students in U.S. public schools, with over 15% of ELs identified as having disabilities. English language proficiency (ELP) assessments must adhere to universal design principles and incorporate universal tools, designed to increase accessibility for all ELs, including those with disabilities. This study examined the use of seven universal tools by Grades 4–12 ELs with and without disabilities during an online ELP assessment. We interviewed 55 ELs after they completed an ELP assessment. Findings from telemetry data analysis (record of keystrokes and clicks) show the frequency of ELs tool use. Interview findings further revealed students’ rationales for tool use, providing evidence for the usefulness of these tools.