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Request for 504 AccommodationsStudent Name:ID #Adviser:Parent Name:Address:Phone (H):Phone (W):Please complete and sign this form where indicated below. Then return it, with any additional supporting
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How to fill out request for 504 accommodations

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How to fill out request for 504 accommodations

01
Contact your school's designated 504 coordinator to discuss your request for accommodations.
02
Provide documentation of your disability and how it impacts your learning.
03
Work with the 504 coordinator to determine appropriate accommodations for your needs.
04
Review and sign the 504 plan outlining the approved accommodations.
05
Follow up with the 504 coordinator to ensure accommodations are being implemented and are effective.

Who needs request for 504 accommodations?

01
Students with disabilities who require accommodations to have equal access to education.
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A request for 504 accommodations is a formal application submitted to request specific accommodations or modifications to be made in order to ensure equal access and opportunity for individuals with disabilities.
Any individual with a disability who requires accommodations in order to have equal access to programs, services, or activities provided by a federally funded entity is required to file a request for 504 accommodations.
To fill out a request for 504 accommodations, individuals need to provide their personal information, details about their disability, the specific accommodations requested, and any supporting documentation or medical records.
The purpose of a request for 504 accommodations is to ensure that individuals with disabilities are provided with equal access and opportunities in federally funded programs, services, or activities.
The request for 504 accommodations must include personal information, details about the disability, requested accommodations, and any supporting documentation such as medical records or evaluations.
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