Get the free Section 504 Eligibility Form - Austintown Schools - austintown k12 oh

Form D Section 504 Eligibility Form Conference Date: Student Name: DOB: School: Grade: Student Address: Parent Name: Phone #: The Notice of Parent/Student Rights distributed on: The Parent was invited

How to fill out section 504 eligibility form

1. Start by obtaining a section 504 eligibility form from your school or workplace. This form is typically provided by the school district or the Equal Employment Opportunity Commission (EEOC), depending on the context.
2. Familiarize yourself with the purpose and requirements of section 504. This civil rights law aims to provide equal access and accommodations to individuals with disabilities in educational or employment settings.
3. Begin by filling out basic information on the form, such as your name, address, contact details, and the date of submission. Ensure that your information is accurate and up to date.
4. Identify the educational or workplace institution for which the section 504 eligibility form is being completed. Indicate the name of the institution and provide any additional information requested regarding the specific program or department.
5. Provide details about the individual seeking section 504 eligibility. This includes their name, date of birth, gender, and any relevant identification or student/employee numbers.
6. Clearly state the nature of the disability or condition related to the section 504 eligibility. Specify the medical diagnosis, impairment, or condition for which accommodations are being sought. Be descriptive and include any necessary medical documentation or reports.
7. Describe the educational or workplace limitations caused by the disability. Detail how the disability affects the individual's major life activities or ability to perform essential job functions. Explain the need for reasonable accommodations or modifications to ensure equal access or opportunity.
8. Discuss any previous accommodations or services received by the individual. Specify if they have been assessed or received services under section 504 or other disability laws before. Provide details about the effectiveness or appropriateness of previous accommodations.
9. If applicable, include input or recommendations from medical or educational professionals. Attach supporting documentation, such as medical reports, psychological evaluations, or letters from healthcare providers, to strengthen the section 504 eligibility request.
10. Review the completed form for accuracy and completeness. Ensure all required sections are filled out and all necessary attachments or documents are included. Seek assistance from a school administrator, employer, or advocate if needed.

Who needs section 504 eligibility form?

1. Students with disabilities who require accommodations or services to access education on an equal basis with their peers.
2. Employees with disabilities who need reasonable accommodations to perform essential job functions.
3. Individuals seeking protection and equal opportunities in publicly funded programs or activities due to their disability.

For pdfFiller’s FAQs

What is section 504 eligibility form?

Section 504 eligibility form is a document used to determine if an individual qualifies for protections under Section 504 of the Rehabilitation Act of 1973, which prohibits discrimination on the basis of disability in programs that receive federal funding.

Who is required to file section 504 eligibility form?

Parents or guardians of students with disabilities, as well as individuals with disabilities themselves, may be required to file a section 504 eligibility form with their school or employer.

How to fill out section 504 eligibility form?

To fill out a section 504 eligibility form, individuals must provide information about the nature of their disability, how it impacts major life activities, and any necessary accommodations or modifications needed to participate in programs or activities.

What is the purpose of section 504 eligibility form?

The purpose of the section 504 eligibility form is to assess whether an individual meets the criteria for protection under Section 504 and to ensure that they receive the necessary accommodations to access programs and activities.

What information must be reported on section 504 eligibility form?

The section 504 eligibility form typically requires information about the individual's disability, the impact it has on major life activities, and any accommodations or modifications needed to participate in programs or activities.

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