Get Request For Section 504 Accommodations - New York City ... - Schools Nyc

This guide provides clear, step-by-step instructions on how to effectively complete the Request For Section 504 Accommodations for students in New York City schools. By following these directions, you can ensure that your request for necessary accommodations is properly submitted and considered.

Follow the steps to complete your request for Section 504 accommodations.

1. Press the ‘Get Form’ button to access the form. This will open the document for editing and completion.
2. Fill in the student's name and date of birth in the designated fields. Ensure that the information is accurate and clearly noted.
3. Enter the school name and the school’s ATS/DBN code. This identifies the educational institution and facilitates the processing of your request.
4. Specify the student’s grade/class and provide the name of the requesting parent or guardian. It is important to include your relationship to the student.
5. Note the date you are submitting the form to the 504 Coordinator, as well as the name of the 504 Coordinator.
6. In Part 1, provide the Student ID number. Then, describe the concern regarding the student’s educational performance and how it affects their learning.
7. Indicate the specific accommodations you are requesting based on the previous description. It is advisable to consult the school-based 504 Coordinator if you have questions.
8. Complete the section for requested educational accommodations. Check all applicable boxes for testing and classroom/curriculum accommodations, and specify any additional requests.
9. For Part 2, ensure you provide parent/guardian consent by filling out the required information, including your daytime phone number and signature.
10. Make sure to attach any necessary HIPAA authorization forms if applicable and ensure that all required items are included before finalizing.
11. Once you have completed the form, save your changes. You can download, print, or share the finalized document as needed.

Start completing your Request For Section 504 Accommodations online now.