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This document is used to refer a student for evaluation under Section 504, detailing their background, educational needs, and any interventions undertaken prior to referral.
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How to fill out section 504 referral form

How to fill out SECTION 504 REFERRAL FORM
01
Review the purpose of the Section 504 Referral Form.
02
Gather necessary student information, including name, date of birth, and school details.
03
Provide details about the student's diagnosed condition or disability.
04
Document specific concerns regarding the student's performance in school.
05
Include any previous accommodations or interventions that have been tried.
06
Complete the section regarding parent or guardian consent.
07
Sign and date the form before submission.
08
Submit the completed form to the designated school administrator.
Who needs SECTION 504 REFERRAL FORM?
01
Students with disabilities needing accommodations for equal access to education.
02
Parents or guardians of students with disabilities seeking support.
03
Educators or school staff who observe issues related to a student's disability.
04
School administrators responsible for evaluating and responding to accommodation requests.
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What is SECTION 504 REFERRAL FORM?
The SECTION 504 REFERRAL FORM is a document used to refer a student for evaluation under Section 504 of the Rehabilitation Act of 1973, which ensures that students with disabilities have equal access to education.
Who is required to file SECTION 504 REFERRAL FORM?
The SECTION 504 REFERRAL FORM must be filed by school personnel, parents, or guardians who believe that a student may have a disability that impacts their ability to learn and access educational services.
How to fill out SECTION 504 REFERRAL FORM?
To fill out the SECTION 504 REFERRAL FORM, provide student information such as name, date of birth, and school; describe the concerns or observed behaviors; and include any relevant medical or educational evaluations.
What is the purpose of SECTION 504 REFERRAL FORM?
The purpose of the SECTION 504 REFERRAL FORM is to initiate the evaluation process to determine if a student qualifies for accommodations or services due to a disability under Section 504.
What information must be reported on SECTION 504 REFERRAL FORM?
The SECTION 504 REFERRAL FORM must report student identification details, specific concerns regarding the student's performance or behavior, relevant observations by teachers or staff, and any prior interventions or assessments.
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