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REQUEST FOR SECTION 504 EVALUATION STUDENTS FIRST NAMESTUDENTS LAST NAMEGENDERAGE Male Female ADDRESS OF STUDENT NUMBER, STREET, APARTMENT NUMBER, CITY, STATE, AND ZIP CODE-NAME OF PARENT/GUARDIAN
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How to fill out referral for section 504

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How to fill out referral for section 504

01
Start by gathering all relevant information about the person who needs the referral, such as their name, date of birth, and contact information.
02
Clearly state the reason for the referral, specifying that it is for Section 504 accommodations.
03
Provide a detailed description of the person's disability or impairment that substantially limits a major life activity.
04
Include any relevant supporting documentation, such as medical records or evaluations, that demonstrate the need for accommodations.
05
Describe the specific accommodations or services that the person requires to participate fully in the educational program.
06
Clearly state the goals and objectives for the accommodations and how they will enable the person to overcome barriers and achieve success.
07
Include any additional information or supporting documentation that may be relevant or useful for the referral process.
08
Submit the completed referral to the appropriate individuals or department, following any specific procedures or guidelines provided by the educational institution.

Who needs referral for section 504?

01
Anyone who has a disability or impairment that substantially limits a major life activity may need a referral for Section 504 accommodations.
02
This can include students of all ages, employees, and individuals seeking services from organizations that receive federal funding.
03
Examples of major life activities include walking, seeing, hearing, speaking, breathing, learning, working, and taking care of oneself.
04
It is important to note that each situation is unique, and the need for a referral should be assessed on an individual basis.
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Referral for Section 504 refers to the process of identifying and evaluating students who may need accommodations or services under Section 504 of the Rehabilitation Act of 1973 due to a disability.
Typically, schools, parents, or guardians can file a referral for Section 504. Education professionals may also initiate the referral process if they believe a student may qualify.
To fill out a referral for Section 504, the individual filing should gather relevant documentation regarding the student's disability and needs, complete the designated referral form provided by the school district, and submit it to the appropriate school official.
The purpose of referral for Section 504 is to assess and ensure that students with disabilities receive appropriate accommodations and services to access education on an equal basis with their peers.
The referral for Section 504 must include information such as the student's personal details, the nature of the disability, specific needs related to the educational environment, and any supporting documentation from medical or psychological assessments.
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