Get the free Section 504 Evaluation for Eligibility and to Determine Interventions

Mt. Diablo Unified School District James Dent Education Center Student Services Office 1936 Carlotta Drive, Concord, CA 94519 (925) 6828000 SECTION 504 EVALUATION FOR ELIGIBILITY WORKSHEET Page 1

How to fill out section 504 evaluation for

Point by point guide on how to fill out section 504 evaluation form:

1. Obtain the necessary form: First, you need to acquire the section 504 evaluation form. This form can typically be obtained from the school or educational institution where the evaluation will take place. It may also be available on their website or through the Department of Education.
2. Provide personal information: Begin by filling out your personal information section. This usually includes your name, address, contact information, and any other required details. Ensure that all the information provided is accurate and up-to-date.
3. Specify the purpose of the evaluation: Indicate the reason for this evaluation. Whether it is for students with disabilities, medical conditions, or any other qualifying criteria, make sure to clearly state the purpose for the evaluation.
4. Describe the individual's limitations: In this section, provide a detailed description of the individual's limitations or challenges. Explain how these limitations affect their ability to participate in and access education or related activities. Be specific and provide examples where necessary.
5. Include medical or professional reports: Attach any relevant medical or professional reports that support the need for a section 504 evaluation. These reports may contain information about the individual's diagnosis, medical condition, or any other pertinent details that help in understanding their limitations.
6. Documentation of accommodation needs: If there are specific accommodations or support services that the individual requires, ensure to include them in this section. Clearly describe what accommodations are needed and how they will address the individual's limitations.
7. Sign and date the form: Finally, review the completed section 504 evaluation form, sign, and date it. By doing so, you acknowledge that the information provided is true and accurate to the best of your knowledge.

Who needs section 504 evaluation for:

1. Students with disabilities: Section 504 evaluation is primarily intended for students with disabilities who may require accommodations to access and participate in educational programs and activities. This evaluation helps identify the specific needs and determine appropriate accommodations.
2. Individuals with medical conditions: Section 504 evaluation is also relevant for individuals with medical conditions that significantly impact their ability to learn or engage in education. The evaluation process ensures that necessary accommodations are provided to support their academic success.
3. Students facing temporary challenges: Section 504 evaluation can be beneficial for students facing temporary challenges, such as injuries or illnesses, that may impact their educational experience. These evaluations help address and accommodate their limitations during their recovery period.
4. Individuals with other qualifying criteria: Apart from disabilities and medical conditions, section 504 evaluation may be required for individuals who meet other qualifying criteria outlined by the educational institution or relevant regulations. This can include social or emotional challenges that affect their educational progress.

Remember, it is essential to consult with the educational institution or a qualified professional to determine if a section 504 evaluation is necessary and to ensure the form is accurately completed.

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What is section 504 evaluation for?

Section 504 evaluation is for assessing the needs and providing accommodations for individuals with disabilities.

Who is required to file section 504 evaluation for?

Schools and educational institutions are required to file section 504 evaluation for students with disabilities.

How to fill out section 504 evaluation for?

Section 504 evaluation should be filled out by qualified professionals, such as school psychologists or special education coordinators, based on the individual needs of the student.

What is the purpose of section 504 evaluation for?

The purpose of section 504 evaluation is to ensure that students with disabilities receive appropriate accommodations and support to access their education.

What information must be reported on section 504 evaluation for?

Section 504 evaluation should include information about the student's disability, functional limitations, and recommended accommodations.