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___ Student Name Grade:___ State ID:___ Date:___ Date of Birth:___ Local ID:___ School:___ ELL Status:___ District:___Purpose: Referral for Section 504 EvaluationTitle/Name of Person Making this Referral:
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How to fill out 504 evaluation of eligibility

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How to fill out 504 evaluation of eligibility

01
To fill out the 504 evaluation of eligibility, follow the steps below:
02
Begin by reviewing the 504 evaluation form and familiarize yourself with the sections and requirements.
03
Provide the necessary personal and contact information of the individual being evaluated at the top of the form.
04
Next, gather any relevant medical or psychological documentation that supports the need for accommodations.
05
Complete the section on the form that describes the specific functional limitations and how they impact major life activities.
06
Include any recommendations for accommodations or services that would help mitigate those limitations.
07
If applicable, include any additional information or details about the individual's condition that may be important for evaluation purposes.
08
After completing the form, review it for accuracy and make any necessary corrections.
09
Sign and date the form, and provide any required contact information for follow-up purposes.
10
Submit the completed 504 evaluation of eligibility form to the appropriate entity or office responsible for evaluating eligibility.

Who needs 504 evaluation of eligibility?

01
Individuals who may benefit from a 504 evaluation of eligibility include:
02
- Students with disabilities who require accommodations or services to fully participate in educational programs.
03
- Employees with disabilities who need workplace accommodations to perform their job duties effectively.
04
- Individuals with disabilities who require accessibility modifications in public facilities or programs.
05
- Individuals seeking legal protections and accommodations under Section 504 of the Rehabilitation Act of 1973.
06
- Parents or guardians of individuals with disabilities who wish to ensure equal opportunities and access to services.

What is 504 Evaluation of Eligibility Template Form?

The 504 Evaluation of Eligibility Template is a writable document that has to be filled-out and signed for specific purposes. In that case, it is provided to the exact addressee to provide specific details of certain kinds. The completion and signing may be done in hard copy or with a trusted solution e. g. PDFfiller. Such applications help to submit any PDF or Word file without printing out. While doing that, you can edit its appearance for the needs you have and put an official legal e-signature. Once finished, you send the 504 Evaluation of Eligibility Template to the recipient or several recipients by mail and also fax. PDFfiller has got a feature and options that make your Word form printable. It includes different settings for printing out appearance. It doesn't matter how you'll file a document - in hard copy or by email - it will always look professional and organized. In order not to create a new editable template from scratch over and over, turn the original form into a template. Later, you will have a rewritable sample.

504 Evaluation of Eligibility Template template instructions

Before starting to fill out 504 Evaluation of Eligibility Template MS Word form, make sure that you prepared enough of necessary information. It's a mandatory part, because some errors can bring unpleasant consequences from re-submission of the whole blank and finishing with missing deadlines and you might be charged a penalty fee. You ought to be observative enough when writing down figures. At first glimpse, it might seem to be dead simple. However, it is easy to make a mistake. Some use such lifehack as storing all data in a separate file or a record book and then insert this information into documents' temlates. Nevertheless, come up with all efforts and provide actual and solid data with your 504 Evaluation of Eligibility Template .doc form, and doublecheck it during the filling out all necessary fields. If you find any mistakes later, you can easily make some more amends while using PDFfiller application and avoid blown deadlines.

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The 504 evaluation of eligibility is an assessment process used to determine if a student qualifies for accommodations under Section 504 of the Rehabilitation Act of 1973. It aims to evaluate whether a student's physical or mental impairment substantially limits one or more major life activities.
The 504 evaluation of eligibility is typically initiated by a school staff member, such as a teacher or counselor, when they suspect a student may have a disability that impacts their educational performance. Parents can also request an evaluation.
Filling out the 504 evaluation of eligibility involves completing a form that includes the student's personal information, details of the suspected disability, observations related to the student's performance, and any relevant medical or psychological evaluations. The involved team assesses the information to determine eligibility.
The purpose of the 504 evaluation of eligibility is to identify students who require special accommodations or services in the school environment due to disabilities, ensuring they have equal access to educational opportunities.
The 504 evaluation form must report the student's demographic information, detailed descriptions of the disability, assessments and evaluations conducted, educational performance data, and recommendations for accommodations.
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