Request for Section 504 Accommodations Form
This form is essential for students requiring accommodations under Section 504 of the Rehabilitation Act, providing details for eligibility. Parents fill out the form to request necessary support for their children at school. It's important for ensuring that all students receive the appropriate resources to succeed.
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How do I fill this out?
To fill out this form, start by gathering all necessary information about the student and their needs. Carefully complete each section to accurately describe the requested accommodations and concerns. Ensure that the form is submitted to the school's 504 Coordinator for processing.

How to fill out the Request for Section 504 Accommodations Form?
1
Gather the required student information.
2
Describe specific concerns affecting the student's performance.
3
Select the requested accommodations.
4
Complete the parent consent section.
5
Submit the form to the school's 504 Coordinator.
Who needs the Request for Section 504 Accommodations Form?
1
Parents of students with disabilities may need this form to request accommodations.
2
Students who require additional support in school settings need this form to ensure their needs are met.
3
Teachers may need this form to understand the accommodations required for their students.
4
School administrators need this form to comply with Section 504 regulations.
5
Healthcare providers may need this form to facilitate communication about a student's needs.
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What are the important dates for this form in 2024 and 2025?
The 504 Accommodation Request forms are typically submitted at the start of each school year or when new needs arise. Make sure to check with the school's 504 Coordinator for any additional deadlines specific to your district. Renewals are often necessary every school year to maintain accommodations.

What is the purpose of this form?
The purpose of the 504 Accommodations Request form is to provide a structured way for parents to request necessary accommodations for their children with disabilities. This form ensures that students have equal access to education and resources that will help them succeed academically. Properly filling out this form allows school staff to understand and address the individual needs of each student under Section 504.

Tell me about this form and its components and fields line-by-line.

- 1. Student Information: Details such as name, DOB, and Student ID.
- 2. Accommodations Requested: Lists various accommodations that can be selected.
- 3. Parent/Guardian Consent: Section where the parent agrees to the information provided.
- 4. 50/50 Coordinator Review: Section for the 504 Coordinator's use.
What happens if I fail to submit this form?
Failing to submit the accommodation request can result in unmet educational needs for the student. Without this form, students may not receive necessary accommodations or services required for their success. It’s important to be aware of deadlines to ensure timely processing of requests.
- Denied Accommodations: The student may miss out on critical support for their learning.
- Increased Academic Challenges: The lack of accommodations could lead to further difficulties in school.
- Legal Implications: Failure to comply with Section 504 could lead to legal issues for the school.
How do I know when to use this form?

- 1. New Accommodations: When requesting accommodations for the first time.
- 2. Renewal Requests: For continuing accommodations from previous years.
- 3. Changes in Needs: If there are new concerns that require adjustments in accommodations.
Frequently Asked Questions
How do I download the completed 504 Accommodation Request form?
After filling out the form, click the download button to save your completed PDF.
Can I edit the form after I've downloaded it?
Yes, you can reopen the PDF in PrintFriendly to make further edits.
What types of accommodations can I request?
You can request various accommodations based on the specific needs of the student, such as extended time on tests.
Do I need to include my child's IEP with this form?
If applicable, including the IEP can support your request for accommodations.
How long does it take to process this request?
Processing times may vary, but generally, it is expedited to ensure timely support for the student.
Is my information kept confidential?
Yes, all information provided in the form is treated as confidential.
What should I do if my request is denied?
You can appeal the decision or seek further clarification from the school's 504 Coordinator.
Can this form be filled out online?
Yes, you can complete this form online using our PDF editor.
What if I have questions while filling out the form?
You can contact your school's 504 Coordinator for assistance with filling out the form.
Is there a specific deadline for submitting this form?
It's recommended to submit the form as early as possible, particularly before major assessments.
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