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2260 F4 PLYMOUTH COMMUNITY SCHOOL CORPORATION REQUEST FOR A 504 EVALUATION Student School Requestor Parent Teacher Counselor Administrator Other Nature of the Suspected Disability (Describe Disability
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How to fill out request for a 504

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How to fill out a request for a 504:

01
Start by obtaining a copy of the request form. This form can typically be found online on the official website of the organization or institution overseeing the 504 accommodations.
02
Begin filling out the form by providing your personal information. This includes your name, contact information, and any other necessary identification details.
03
Next, clearly state the reason for requesting a 504. Be specific about the accommodations you are seeking and the challenges you are facing that require these accommodations. It is important to provide relevant details and supporting documentation, such as medical reports or evaluations.
04
If applicable, include any relevant educational history or background information that supports your request. This may include past evaluations, Individualized Education Programs (IEPs), or any other relevant documentation that demonstrates your need for accommodations.
05
Make sure to include any recommendations or suggestions for accommodations that you believe would be beneficial for your situation. These recommendations could be based on discussions with healthcare professionals, previous accommodations received, or any other information that supports your case.
06
Review your completed form carefully. Ensure that all the necessary fields are filled correctly, and verify that you have attached any required supporting documentation. Double-check for any possible errors or omissions.
07
Finally, submit the completed request for a 504 according to the specified instructions. This may involve mailing the form to a specific address or submitting it online through an application portal.

Who needs a request for a 504?

01
Students with disabilities: Individuals who have disabilities that substantially limit one or more major life activities, such as learning, communication, or mobility, may require a request for a 504 plan. This can ensure equal access to education and appropriate accommodations within the educational setting.
02
Parents or guardians: In many cases, parents or guardians initiate the request for a 504 plan on behalf of their child. They may identify challenges their child is facing in the school environment and request accommodations to address those challenges.
03
Healthcare professionals: In some instances, healthcare professionals, such as doctors, psychologists, or therapists, may recommend a 504 plan for their patients. They can provide the necessary documentation and support to justify the need for accommodations based on the individual's medical condition or disability.
Note: The process and requirements for a request for a 504 plan may vary depending on the country, educational institution, or organization involved. It is essential to familiarize yourself with the specific guidelines and procedures of the relevant governing body.
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A request for a 504 is a formal submission made to request accommodations for individuals with disabilities under Section 504 of the Rehabilitation Act.
Any individual with a disability who needs accommodations in services, programs, or activities is required to file a request for a 504.
To fill out a request for a 504, the individual must provide information about their disability, the accommodations needed, and how the disability affects their access to services or activities.
The purpose of a request for a 504 is to ensure that individuals with disabilities have equal access to services, programs, and activities without discrimination.
The request for a 504 must include specific details about the individual's disability, the accommodations requested, and how the disability impacts their ability to participate in services or programs.
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