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EXHIBIT D2(b) PHYSICAL RESTRAINT/SECLUSION INCIDENT RECORD1 and DEBRIEFING REPORT A. Student InformationSchool:Name:UID#: Hispanic:IEP* 504 Plan ReferredYesNoRace (check all that apply): White American
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How to fill out students on section 504

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To fill out students on section 504, follow these steps:
02
Obtain a copy of the section 504 form from your educational institution or download it from their website.
03
Fill out the personal information of the student, including their name, date of birth, and contact information.
04
Provide information about the student's disability or impairment that qualifies them for section 504 services.
05
Describe how the disability affects the student's major life activities, such as learning, communication, or mobility.
06
Include any medical or diagnostic reports that support the student's eligibility for section 504 services.
07
Provide details about any accommodations or modifications needed to ensure equal access to education.
08
Sign and date the form, and submit it to the designated section 504 coordinator or office at your educational institution.
09
Keep a copy of the filled-out form and any supporting documents for your records.

Who needs students on section 504?

01
Students on section 504 are those who have a physical or mental impairment that substantially limits one or more major life activities.
02
Examples of such impairments include mobility issues, chronic health conditions, learning disabilities, and mental health disorders.
03
These students may require accommodations or modifications in educational settings to ensure equal access to educational opportunities.
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It is important to identify and evaluate students who may qualify for section 504 services to provide the necessary support and accommodations for their success.
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Section 504 is a part of the Rehabilitation Act of 1973 that prohibits discrimination based on disability in programs or activities receiving federal financial assistance. Students covered under Section 504 are those with disabilities who require accommodations to access their education.
Schools and educational institutions are required to file students on Section 504 if they identify students with disabilities who need accommodations to ensure equal access to education.
To fill out Section 504 documentation, educational staff should gather necessary information about the student's disability, how it affects their learning, and what specific accommodations are needed. This information should be compiled into a Section 504 Plan, which must be reviewed and signed by relevant stakeholders.
The purpose of Section 504 is to provide equal educational opportunities to students with disabilities by ensuring they receive necessary accommodations and support to succeed in school without discrimination.
Information reported on students under Section 504 typically includes the nature of the disability, specific accommodations and modifications required, the impact of the disability on the student's educational performance, and any relevant medical documentation.
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