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DOVER PUBLIC SCHOOLS
SECTION 504
EMPLOYEE REASONABLE ACCOMMODATION REQUEST FORM
Dover Public Schools 504 Staff Coordinator: Kevin BullockInstructions: This form should be completed whenever an employee
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How to fill out 504 reasonable accommodation request

How to fill out 504 reasonable accommodation request
01
To fill out a 504 reasonable accommodation request, follow these steps:
02
Start by gathering all relevant documentation related to your disability or medical condition.
03
Download the 504 reasonable accommodation request form from the appropriate source, such as your employer, educational institution, or housing provider.
04
Fill out the personal information section of the form, providing your name, contact information, and any identification numbers if applicable.
05
Specify the type of accommodation you are requesting, such as modifications to your work schedule, physical workplace adjustments, or academic accommodations.
06
Describe your disability or medical condition in detail, including how it limits your daily activities and why the requested accommodation is necessary.
07
Attach all supporting documentation, such as medical reports, assessments, or recommendations from healthcare professionals.
08
Complete any additional sections or questions on the form as required by the organization or institution.
09
Review the completed form to ensure accuracy and completeness.
10
Submit the filled-out form along with all supporting documentation to the appropriate recipient as instructed.
11
Keep a copy of the filled-out form and supporting documents for your records.
12
Follow up with the recipient within a reasonable time frame to inquire about the status of your request.
13
Be prepared to provide any additional information or engage in further discussions if necessary.
Who needs 504 reasonable accommodation request?
01
Individuals who have disabilities or medical conditions that limit their major life activities may need to submit a 504 reasonable accommodation request.
02
This may include employees who require workplace adjustments, students who require academic accommodations, or individuals seeking equal access to public facilities or services.
03
The need for a 504 reasonable accommodation request arises when an individual faces barriers due to their disability and requires modifications or adjustments to overcome those barriers and ensure equal opportunities.
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What is 504 reasonable accommodation request?
A 504 reasonable accommodation request is a formal appeal made under Section 504 of the Rehabilitation Act of 1973, which ensures that students with disabilities receive necessary modifications and supports to access education and participate fully in school activities.
Who is required to file 504 reasonable accommodation request?
The request can be filed by a student with a disability, their parent or guardian, or educational staff on behalf of the student to ensure appropriate accommodations are provided.
How to fill out 504 reasonable accommodation request?
To fill out a 504 reasonable accommodation request, individuals should complete a designated form provided by the school or district, detailing the nature of the disability, the specific accommodations needed, and any supporting documentation from medical professionals.
What is the purpose of 504 reasonable accommodation request?
The purpose of the 504 reasonable accommodation request is to enable students with disabilities to receive necessary adjustments and support, ensuring they have equal access to educational opportunities.
What information must be reported on 504 reasonable accommodation request?
The request must include the student's personal information, details of the disability, specific accommodation requests, any relevant medical documentation, and signatures of the individual filing the request.
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