Forms

The following are examples of forms that can be used in the Section 504 placement process. There are multiple examples of some form types.

These forms are taken from the Mountain Plains Regional Resource Center and Utah State Office of Educations Section 504 and Americans with Disabilities Act Handbook. (ADA stands for Americans with Disabilities Act, of 1990, for the purpose of school issues this resource targets Section 504.

Even though 504 forms are compatible with ADA requirements it is not the intention of this Handbook to deal with ADA.) The following are the type of forms included.

IMPORTANT: You must have the Adobe Reader software installed to view and print these documents.To get the free Adobe Reader software required to read these pdf files, go to: http://www.adobe.com/products/acrobat/readstep.html

Referral and Guidelines(Form 2) (two examples)
These forms can be used to request a 504 evaluation.
Notice to Parents (Form 3)
Notifies parents of concerns and possible 504 meeting.
Notice of Meeting (Form 4)
Notifies parents of a Section 504 meeting for their child.
Parent/Student Rights (Form 5) (two examples)
Should be given with the Notice to Parents form and it informs parents of their legal rights.
Eligibility/Accommodation (Form 6) (four examples)
Documents eligibility and accommodation for student.

Return to Section 504 Index

Section 504 of the Rehabiliation Act of 1973

Forms