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Special Program Section 504 Complaint Form Student Name: Student s School: Date: Your Name: Your Phone: Your Address: Please identify the person who you feel discriminated against you: Please describe
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How to fill out section 504 complaint form

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How to fill out section 504 complaint form:

01
Read the instructions: Before starting to fill out the section 504 complaint form, carefully read the provided instructions. These instructions will guide you on the necessary information to include and the format to follow.
02
Provide personal information: Start by filling out your personal details, such as your full name, address, phone number, and email address. Make sure to provide accurate information, as it may be necessary for further communication regarding the complaint.
03
Identify the complaint: Clearly state the nature of your complaint and how it relates to Section 504. This is crucial for the authorities to understand the specific issue you are addressing.
04
Detail the incident or violation: Explain in detail the incident or violation that led to your complaint. Provide relevant dates, locations, and any other pertinent information that will help support your claim. Be concise yet comprehensive in your description.
05
Provide supporting evidence: Attach any supporting documents that will strengthen your complaint. This may include emails, photographs, witness statements, or any other relevant evidence related to the incident or violation.
06
Specify desired outcomes: Clearly state what you hope to achieve through your complaint. Whether it is seeking corrective action, compensation, or any other resolution, make sure to articulate your desired outcomes.
07
Sign and date the form: Once you have completed filling out the section 504 complaint form, sign and date it. This confirms that the information provided is true and accurate to the best of your knowledge.

Who needs section 504 complaint form?

01
Students with disabilities: Section 504 of the Rehabilitation Act of 1973 protects the rights of individuals with disabilities in programs and activities that receive federal financial assistance. Therefore, students who believe they have faced discrimination based on their disability may need to fill out a section 504 complaint form.
02
Parents or guardians: If a parent or guardian believes that their child with a disability has been subjected to discrimination in an educational institution or other federally funded program, they may need to complete the section 504 complaint form on their child's behalf.
03
Advocates and representatives: Individuals advocating on behalf of someone with a disability or representing an organization that deals with disability rights may utilize the section 504 complaint form to report instances of discrimination or violations of the law.
Remember, it is important to consult the specific policies and procedures of the institution or organization involved to ensure that you are following the correct process for filing a section 504 complaint form.
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Section 504 complaint form is a document used to file a complaint regarding discrimination based on disability in programs or activities that receive federal financial assistance.
Any individual who believes they have been subjected to discrimination based on disability in programs or activities that receive federal financial assistance.
Section 504 complaint form can be filled out by providing details of the alleged discrimination, contact information, and any relevant documentation.
The purpose of section 504 complaint form is to provide individuals with a formal process to address allegations of discrimination based on disability.
Information such as the nature of the alleged discrimination, date and location of the incident, names of individuals involved, and any supporting documentation.
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