Get the free 504 Eligibility Determination Form 4-2013.doc

NATICK PUBLIC SCHOOLS SECTION 504 ELIGIBILITY DETERMINATION FORMStudents Name: DOB: Age: School: Grade: Parent/Guardian: Case Manager/Contact Person: Date of Meeting: A. Purpose of Meeting Determine

How to fill out 504 eligibility determination form

How to fill out 504 eligibility determination form

1. To fill out the 504 eligibility determination form, follow these steps:
2. Begin by providing the student's identifying information, such as their name, date of birth, and contact details.
3. Specify the school or educational institution where the student is enrolled or seeking enrollment.
4. Indicate the disability or impairment that the student possesses. Provide detailed information about the condition and any supporting medical documentation.
5. Describe how the student's disability substantially limits their major life activities, such as learning, walking, or communicating.
6. Identify the mitigating measures or accommodations that have been provided to the student, including any assistive technology or special services.
7. Explain why these mitigating measures are not sufficient to fully address the impact of the disability on the student's educational experience.
8. Provide any additional relevant information or explanations that support the student's eligibility for Section 504 accommodations.
9. Review the completed form for accuracy and completeness, ensuring all necessary sections have been addressed.
10. Sign and date the form, and submit it to the appropriate school official or disability services coordinator.
11. Keep a copy of the filled-out form for your records.

Who needs 504 eligibility determination form?

1. Individuals who require accommodations or services in educational settings due to a disability may need to complete the 504 eligibility determination form.
2. This includes students of all ages, from elementary school to college or vocational programs.
3. Parents or guardians may also need to fill out the form on behalf of a minor student.
4. Educational institutions may request the completion of the form to assess and determine appropriate accommodations for students with disabilities.

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What is 504 eligibility determination form?

The 504 eligibility determination form is a document used to assess whether a student qualifies for accommodations and services under Section 504 of the Rehabilitation Act of 1973, which is designed to protect the rights of individuals with disabilities.

Who is required to file 504 eligibility determination form?

The form is typically filed by schools or educational institutions on behalf of students who may have disabilities and require accommodations to support their educational needs.

How to fill out 504 eligibility determination form?

To fill out the form, relevant personal and educational information about the student must be gathered, including medical history, academic performance, and any existing accommodations. The required sections of the form should be completed accurately, and appropriate supporting documentation should be attached.

What is the purpose of 504 eligibility determination form?

The purpose of the form is to formally evaluate whether a student qualifies for services and protections under Section 504, ensuring they receive necessary accommodations to access education equitably.

What information must be reported on 504 eligibility determination form?

The form typically requires personal information, details regarding the student's disability, descriptions of how the disability impacts the student's learning, and any previous services or accommodations provided to the student.