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APPENDIX D Section 504 Referral and Recommendations Referral Date Student Sex Last First Street City DOB Age M.I. Address Parent/Guardian/Surrogate State School Zip Teacher(s) Grade Telephone Home
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How to fill out appendix d section 504

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How to fill out Appendix D Section 504:

01
Obtain the necessary forms: To fill out Appendix D Section 504, you will first need to obtain the appropriate forms. These can typically be found on the website of the organization or institution requiring the completion of this section.
02
Read the instructions carefully: Once you have the forms in hand, it's important to carefully read and understand the instructions provided. This will ensure that you accurately complete and include all the required information.
03
Provide personal information: Start by filling in your personal information, such as your name, address, phone number, and email address. This information is crucial for identification purposes and contact purposes if needed.
04
Specify the institution or organization: Indicate the institution or organization for which the Appendix D Section 504 is being completed. This could be a school, workplace, or any other relevant entity.
05
Describe the disability or condition: In this section, provide a detailed description of the disability or condition that qualifies the individual for Section 504 accommodations. Be specific and include any relevant medical or diagnostic information.
06
Outline the requested accommodations: Clearly outline the specific accommodations that are being requested. These should be reasonable and directly related to the individual's disability or condition. It is essential to be clear and concise in this section to avoid any misunderstandings.
07
Support the request with documentation: Provide any supporting documentation, such as medical reports, evaluations, or assessments, that substantiates the need for the requested accommodations. Make sure to include all relevant and up-to-date documents to strengthen the case.
08
Review and submit the form: Before submitting the completed Appendix D Section 504, carefully review all the information provided for accuracy and completeness. Make any necessary corrections or additions before signing and dating the form. Once reviewed, submit the form to the appropriate organization or institution following their specified instructions.

Who needs Appendix D Section 504:

01
Students with disabilities: Appendix D Section 504 is often required for students with disabilities to access reasonable accommodations in educational settings. This may include modifications to learning environments, curriculum, or classroom policies to ensure equal access and participation.
02
Employees with disabilities: In the workplace, individuals with disabilities may need to complete Appendix D Section 504 to request reasonable accommodations from their employers. These accommodations could involve flexible work schedules, adaptations to job tasks, or modifications to the physical work environment.
03
Individuals seeking access to public services: People seeking access to public services, facilities, or programs may also need to complete Appendix D Section 504. This ensures that they are provided with reasonable accommodations that allow them to fully participate and benefit from these services.
Remember, the requirements for completing Appendix D Section 504 may vary depending on the specific institution, organization, or context. It's crucial to carefully follow the instructions provided and seek guidance from professionals if needed.
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Appendix D Section 504 is a reporting form that outlines the requirements for federal contractors to submit information on their affirmative action efforts for individuals with disabilities.
All federal contractors who have contracts of $50,000 or more and at least 50 employees are required to file Appendix D Section 504.
To fill out Appendix D Section 504, federal contractors must provide detailed information on their affirmative action efforts for individuals with disabilities, including outreach and recruitment efforts, accommodations provided, and goals for increasing disability representation in the workforce.
The purpose of Appendix D Section 504 is to ensure that federal contractors are taking proactive steps to recruit, retain, and advance individuals with disabilities in their workforce.
Information such as the number of individuals with disabilities employed, outreach efforts to recruit individuals with disabilities, accommodations provided, and goals for increasing disability representation must be reported on Appendix D Section 504.
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