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Applying County Section 504 Referral for Eligibility Determination Please complete and give this form to the schools Section 504 School Contact. Name of Student Referred: ___ Today's Date: ___/___/___
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How to fill out 504 referral formpdf
How to fill out 504 referral formpdf
01
Download the 504 referral form pdf from the school's website or obtain a copy from the school office
02
Fill out the student's personal information such as name, grade, date of birth, and contact information
03
Provide detailed information about the student's medical condition or disability that requires accommodations
04
Include any relevant medical documentation or reports to support the referral
05
Sign and date the form before submitting it to the appropriate school staff member
Who needs 504 referral formpdf?
01
Students who have a medical condition or disability that requires accommodations in a school setting
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What is 504 referral formpdf?
504 referral form PDF is a document used to refer a student for a Section 504 evaluation to determine eligibility for accommodations in school.
Who is required to file 504 referral formpdf?
Educators, school counselors, psychologists, or parents may be required to file a 504 referral form for a student.
How to fill out 504 referral formpdf?
The form typically requires information about the student's background, medical history, and academic performance, as well as details on the reason for the referral.
What is the purpose of 504 referral formpdf?
The purpose of the 504 referral form is to initiate the process to determine if a student qualifies for accommodations under Section 504 of the Rehabilitation Act.
What information must be reported on 504 referral formpdf?
Information such as the student's name, age, grade, parental contact information, medical diagnosis (if applicable), and reason for referral must be reported on the form.
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