Get the free 504 Data Collection Form - utexas

This document collects information on student disabilities, necessary accommodations, and evaluation statuses to facilitate appropriate educational support.

How to fill out 504 data collection form

How to fill out 504 Data Collection Form

1. Obtain a copy of the 504 Data Collection Form from the appropriate authority or website.
2. Review the instructions provided on the form carefully.
3. Gather the necessary information required to fill out the form, such as personal details, medical history, and educational background.
4. Fill in the form with the relevant information, ensuring accuracy and completeness.
5. Double-check all entries for any errors or omissions.
6. Submit the completed form to the designated office or individual as instructed.

Who needs 504 Data Collection Form?

1. Students with disabilities who require accommodations under Section 504 of the Rehabilitation Act.
2. Parents or guardians of students with disabilities.
3. Educators and school administrators responsible for ensuring compliance with Section 504.

People Also Ask about

What to say to get a 504?

I am concerned that my child may need accommodations to support them in school due to their disability To address these concerns, I am requesting that (student's name) be considered for a 504 plan pursuant to Section 504 of the Rehabilitation Act.

How to formally request a 504?

A parent may request a 504 plan through the school's 504 coordinator or principal. It is strongly recommended that the request be in writing.

Why do schools push 504 instead of IEP?

The 504 can start immediately, and means preferential seating, more time on tests and assignments, small group settings, and couple of small things. The IEP would require more hoops and be more formal. It would also give her an extra teacher in the classroom.

What should I ask for a 504 for anxiety?

Sample Accommodations for Anxiety or OCD Separate set of books for home. Has own set of supplies (crayons, scissors, tape) vs. using community supplies. May take hand-outs first before others have touched them. Scheduled bathroom breaks/use of low-traffic bathroom. May leave class a minute early to avoid hallway congestion.

What is an example of a 504 request?

I am writing to refer my child for determination of eligibility under Section 504 of the Rehabilitation Act of 1973 and to develop a formal documented 504 Plan of necessary educational services, which may require accommodations, program modifications, or services in order to enable my child to benefit from public

Where can I get a 504 form?

Another common way to get a 504 plan is by asking the school for one.

How do I get my child evaluated for a 504 plan?

First, contact the school and ask to meet with the counselor. Tell them your concerns, and that you would like a Para or tutor for your child until you can get a 504 or IEP approval. If you do not already get any services for your child, you need to contact your local Community Mental Health system.

What do you say in a 504 meeting?

Be respectful. Be clear. Briefly explain why you have accommodations. Help trouble shoot tricky areas (like essay tests). Say thank you.

For pdfFiller’s FAQs

What is 504 Data Collection Form?

The 504 Data Collection Form is a document used to collect data on students with disabilities who receive services under Section 504 of the Rehabilitation Act of 1973.

Who is required to file 504 Data Collection Form?

Schools and educational institutions that receive federal funding and provide services to students with disabilities under Section 504 are required to file the 504 Data Collection Form.

How to fill out 504 Data Collection Form?

To fill out the 504 Data Collection Form, provide accurate information about the student, including their name, identification number, disability type, and the services they receive. Follow the specific guidelines provided by the governing education department or authority.

What is the purpose of 504 Data Collection Form?

The purpose of the 504 Data Collection Form is to ensure compliance with federal regulations, monitor the provision of services to students with disabilities, and collect data for reporting and funding purposes.

What information must be reported on 504 Data Collection Form?

The information that must be reported on the 504 Data Collection Form includes the student's name, date of birth, disability category, description of services provided, and whether the services are being delivered in the general education environment or through alternative means.