Get the free SECTION 504 REFERRAL FORM - Austintown Schools - austintown k12 oh

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,

How to fill out section 504 referral form

How to fill out section 504 referral form:

1. Begin by obtaining a section 504 referral form from the appropriate organization or educational institution that follows 504 regulations.
2. Familiarize yourself with the required sections and information that need to be completed on the form. These may include personal details of the child, their disability or condition, and any special accommodations or services being requested.
3. Start by providing the child's full name, date of birth, and contact information in the designated fields on the form.
4. Indicate the specific disability or condition that qualifies the child for protections under section 504. Be sure to accurately describe the nature of the disability or condition.
5. Specify any medical or educational records that support the need for accommodations or services. Attach relevant documentation, such as medical reports, diagnoses, or assessments, to the referral form if required or requested.
6. Describe the accommodations or services that are being requested for the child. This can include modifications to the curriculum, assistive technology, counseling services, or any other reasonable adjustments that will ensure equal access.
7. If available, provide any additional information that may be relevant to the child's situation or the accommodations being sought.
8. Review the completed referral form to ensure all sections are filled out accurately and completely. Double-check for any missing or incorrect information.
9. Submit the completed referral form to the appropriate authority or school personnel responsible for processing section 504 requests.
10. Finally, keep a copy of the filled-out referral form for your records.

Who needs section 504 referral form:

1. Students who have a physical or mental impairment that substantially limits major life activities may need a section 504 referral form.
2. These impairments can include but are not limited to disabilities such as learning disabilities, attention deficit disorder, chronic health conditions, or physical disabilities that may require accommodations at school.
3. Students who require special accommodations or related services, such as speech therapy or counseling, to ensure equal access to education, may also need to go through the section 504 referral process.
4. Parents, guardians, or caregivers of eligible students can initiate the section 504 referral process by completing and submitting the referral form to the appropriate personnel.

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What is section 504 referral form?

Section 504 referral form is a document used to refer a student for evaluation under Section 504 of the Rehabilitation Act of 1973.

Who is required to file section 504 referral form?

School administrators, teachers, or parents/guardians can file a Section 504 referral form for a student.

How to fill out section 504 referral form?

The form should be filled out with the student's information, reasons for referral, and any relevant documentation of the student's needs.

What is the purpose of section 504 referral form?

The purpose of the form is to initiate an evaluation process to determine if the student qualifies for accommodations under Section 504.

What information must be reported on section 504 referral form?

The form should include the student's name, grade, a description of the student's limitations or needs, and any relevant medical or educational records.