Get the free Section 504/ada Referral Form

This form is used to refer a student for evaluation under Section 504 of the Rehabilitation Act of 1973, which prohibits discrimination against individuals with disabilities in programs receiving federal financial assistance. It outlines the criteria for eligibility for a 504 plan, and collects necessary information about the student and the referral.

How to fill out section 504ada referral form

How to fill out section 504ada referral form

1. Begin by obtaining a copy of the Section 504/ADA referral form from your school's office or website.
2. Fill in the student's personal information including name, grade, and school.
3. Provide detailed information regarding the student's disability and how it impacts their learning.
4. Indicate any previous accommodations that have been made for the student.
5. Include specific examples of the challenges the student is facing in the academic setting.
6. Attach any relevant medical or psychological evaluations that support the need for accommodations.
7. Sign and date the form before submitting it to the designated school official.

Who needs section 504ada referral form?

1. Students with disabilities who require specific accommodations to support their learning.
2. Parents or guardians who are advocating for their child's educational needs.
3. Educators who are identifying students that need support under Section 504/ADA.

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What is section 504ada referral form?

The Section 504 ADA referral form is a document used to identify and evaluate students who may require special accommodations under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA).

Who is required to file section 504ada referral form?

The referral form is typically filed by educators, school administrators, or parents/guardians of students who suspect that a student may have a disability that necessitates accommodations in a school setting.

How to fill out section 504ada referral form?

To fill out the Section 504 ADA referral form, provide accurate information about the student, including personal details, the nature of the disability, specific needs, and any previous evaluations or assessments.

What is the purpose of section 504ada referral form?

The purpose of the Section 504 ADA referral form is to formally request an evaluation of a student's needs and to ensure that appropriate supports and accommodations are provided to enable the student to access their education.

What information must be reported on section 504ada referral form?

The form typically requires personal information about the student, details regarding the suspected disability, educational history, interventions attempted, and other relevant documentation or assessments.