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HUNTER DON CENTRAL REGIONAL HIGH SCHOOL 504 PARENT REFERRAL FORMStudents Name: Date of Birth: School ID number: Grade: Counselor: Parent(s) Name: Phone Number: Address: 1. Describe the nature of the
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How to fill out 504 parent referral form

How to fill out 504 parent referral form
01
Step 1: Get a copy of the 504 parent referral form from your child's school or district office.
02
Step 2: Read the instructions on the form carefully to understand what information is required.
03
Step 3: Fill out the student's personal information, such as name, date of birth, and grade level.
04
Step 4: Provide details about the reason for the referral, including any specific concerns you have regarding your child's academic or functional performance.
05
Step 5: If applicable, include any supporting documentation or medical records that can help provide a comprehensive picture of your child's needs.
06
Step 6: Sign and date the form, ensuring that all required sections are completed.
07
Step 7: Submit the completed form to the designated school or district office as instructed on the form.
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Step 8: Keep a copy of the form for your records as a reference.
Who needs 504 parent referral form?
01
Parents or legal guardians of students who require accommodations or support services in an educational setting may need to fill out a 504 parent referral form. These students may have disabilities or medical conditions that impact their ability to participate fully in school activities. The form is typically used to initiate the evaluation process for determining eligibility for a 504 plan, which provides specialized accommodations and support for students with disabilities.
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What is 504 parent referral form?
504 parent referral form is a document used to request a Section 504 evaluation for a student who may need accommodations or services due to a disability.
Who is required to file 504 parent referral form?
Parents or legal guardians of a student who may need accommodations or services due to a disability are required to file the 504 parent referral form.
How to fill out 504 parent referral form?
To fill out the 504 parent referral form, parents or legal guardians must provide information about the student's disability, limitations, and need for accommodations or services.
What is the purpose of 504 parent referral form?
The purpose of the 504 parent referral form is to initiate the Section 504 evaluation process to determine if a student qualifies for accommodations or services due to a disability.
What information must be reported on 504 parent referral form?
Information reported on the 504 parent referral form includes details about the student's disability, limitations, and need for accommodations or services.
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