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Form A SECTION 504 REFERRAL FORM **THIS REFERRAL MUST BE GIVEN TO THE BUILDING PRINCIPAL AND DISTRICT COORDINATOR UPON COMPLETION This referral is being made by: parent/legal guardian, teacher, principal,
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Start by gathering all the necessary information and documentation required for the form, such as personal details, medical history, and any relevant supporting documents.
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Begin by filling out the personal information section, including your full name, contact details, and any identification numbers requested.
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Individuals with disabilities or medical conditions who require accommodations or modifications in educational or employment settings.
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Parents or legal guardians of individuals who are minors and require accommodations or modifications in educational settings.
Note: It is important to consult the specific guidelines and requirements of the organization or institution requesting the form to ensure accurate and complete completion.
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