Get the free request for section 504 evaluation
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FORM A English
PASADENA UNIFIED SCHOOL DISTRICT
Child Welfare and AttendanceREQUEST FOR SECTION 504 EVALUATION
Date of Request
Student
School
Students Primary LanguageDate of Birth
Grade
English Language
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How to fill out request for section 504
How to fill out request for section 504
01
Obtain a copy of the school district's Section 504 request form.
02
Fill in your personal information such as name, address, phone number, and email.
03
Provide information on the student for whom the request is being submitted, including their name, grade, and school.
04
Indicate the reason for the request and provide any supporting documentation or information.
05
Sign and date the form before submitting it to the appropriate school official.
Who needs request for section 504?
01
Students who have a disability that substantially limits a major life activity.
02
Parents or guardians of students with disabilities who require accommodations or modifications in the school setting.
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What is request for section 504?
Section 504 refers to a federal law that prohibits discrimination against individuals with disabilities. A request for section 504 is a formal request for accommodations or services to ensure equal access for persons with disabilities in programs or activities that receive federal funding.
Who is required to file request for section 504?
Any individual with a disability who requires accommodations to participate in programs or activities that receive federal funding may file a request for section 504.
How to fill out request for section 504?
To fill out a request for section 504, individuals should provide information about their disability, the accommodations or services needed, and how the requested accommodations will help ensure equal access to programs or activities.
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 accommodations or services that will allow them to participate in programs or activities on an equal basis with others.
What information must be reported on request for section 504?
Information that must be included in a request for section 504 includes details about the disability, specific accommodations or services needed, and how these accommodations will help ensure equal access to programs or activities.
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