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Get the free REQUEST FOR SECTION 504 EVALUATION - SFUSD - healthiersf

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San Francisco Unified School District Student, Family & Community Support Dept. 1515 Quinta St. San Francisco, CA 94116 (415) 242-2615 Section 504 Eligibility Review Form (Prior to evaluation for
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How to fill out request for section 504

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How to fill out a request for section 504:

01
Begin by gathering all necessary information and documentation. This may include personal details such as name, address, and contact information, as well as any relevant medical or educational records.
02
Identify the reason for the request. Determine the specific accommodations or services that are being sought under section 504. This could include modifications to curriculum, specialized equipment, or classroom accommodations.
03
Clearly state the purpose of the request. In a concise and straightforward manner, explain the individual's need for accommodations or services under section 504. Include any relevant information regarding the person's disability and its impact on their educational or work experience.
04
Provide supporting documentation. Include any medical or educational records that help to establish the need for accommodations or services. This may include doctor's notes, evaluations, Individualized Education Plans (IEPs), or any other relevant documentation.
05
Be specific in detailing the requested accommodations or services. Clearly outline what specific modifications or services are being sought, and how they would support the individual's disability-related needs. The more specific and detailed the request, the easier it will be for the reviewing authority to understand and evaluate its merit.
06
Include any additional information or supporting documents that may strengthen the request. This could include statements from other professionals familiar with the individual's needs, or any other relevant information that provides additional context or support.

Who needs a request for section 504?

01
Students with disabilities: Students who have a physical or mental impairment that substantially limits one or more major life activities may benefit from a request for section 504 accommodations. This can include individuals with conditions such as learning disabilities, ADHD, physical disabilities, or chronic health conditions.
02
Employees with disabilities: Section 504 can also apply to individuals in the workplace who may require accommodations to perform their job duties. Employees with disabilities can request reasonable accommodations under section 504 to ensure equal employment opportunities.
03
Individuals accessing public services and programs: Section 504 applies to a wide range of public entities, including schools, colleges, universities, government agencies, and public transportation systems. Anyone who believes they are being discriminated against due to their disability in accessing these services or programs may file a request for section 504 accommodations.
Note: It is important to consult with the specific institution or organization's guidelines and procedures for submitting a request for section 504, as each entity may have its own requirements and forms to be completed.
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Request for section 504 is a formal document submitted to a school or institution requesting accommodations or services for individuals with disabilities.
Any individual with a physical or mental impairment that substantially limits one or more major life activities is eligible to file a request for section 504.
To fill out a request for section 504, one must provide information about the disability, specific accommodations needed, and any supporting documentation.
The purpose of a request for section 504 is to ensure that individuals with disabilities have equal access to education and other services provided by schools or institutions.
Information such as the nature of the disability, recommended accommodations, and any medical or educational evaluations must be reported on a request for section 504.
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