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REQUEST FOR SECTION 504 EVALUATION SAN FRANCISCO UNIFIED SCHOOL DISTRICT STUDENT SUPPORT SERVICES DEPARTMENT Date Received by District 504 Coordinator: Date Request Submitted to School: 504 Evaluation
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How to fill out request for section 504

How to fill out a request for section 504:
01
Gather necessary documentation: Start by collecting all the relevant documents such as medical reports, evaluations, and any other supporting evidence that demonstrates the need for accommodations under section 504.
02
Identify the appropriate contact: Determine who is responsible for receiving and processing section 504 requests in your specific institution or organization. This could be the school or college administration, human resources department, or disability services office.
03
Obtain the request form: Contact the designated person or office to obtain the official request form for section 504. This form will typically ask for personal information, such as name, contact details, and student/employee identification number.
04
Provide comprehensive details: Fill out the form accurately and completely. Include detailed information about the individual's disability or medical condition, the specific accommodations being requested, and any additional supporting documentation or recommendations from healthcare professionals.
05
Explain the impact of the disability: Clearly articulate how the disability or medical condition impacts the individual's major life activities, such as learning, working, or participating in school or work-related activities. Provide examples and specific instances whenever possible.
06
Specify requested accommodations: Clearly state the specific accommodations needed to address the limitations caused by the disability. Ensure that the requested accommodations are appropriate, reasonable, and align with the individual's particular needs.
07
Sign and submit: Carefully review the completed request form, ensuring all sections are accurately filled out. Sign the form and submit it to the designated contact person or office. Keep a copy for your records.
Who needs a request for section 504?
A request for section 504 may be needed by individuals with disabilities who require accommodations in educational institutions, workplaces, or any organizations that receive federal funding. This could include students with disabilities in schools or colleges, employees in the workplace, or individuals accessing services and programs offered by government agencies or federally funded organizations. It is essential to consult the specific policies and procedures of the institution or organization to determine if a section 504 request is necessary and how it should be filed.
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What is request for section 504?
A request for section 504 is a formal application made to a school or organization to request accommodations or modifications for individuals with disabilities.
Who is required to file request for section 504?
Any individual with a disability who requires accommodations or modifications to have equal access to programs and activities.
How to fill out request for section 504?
The request for section 504 can typically be filled out by the individual with a disability, their parent or guardian, or a representative on their behalf. It may require information about the individual's disability and the accommodations needed.
What is the purpose of request for section 504?
The purpose of a request for section 504 is to ensure that individuals with disabilities are provided with equal access to programs, activities, and services.
What information must be reported on request for section 504?
The request for section 504 may require information such as the individual's disability, the impact of the disability on major life activities, and the accommodations or modifications needed.
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