Get Request For Section 504 Accommodations Office Of School Health- School Year 2014-2015 - Schools Nyc

Filling out the Request for Section 504 Accommodations form is an important step in ensuring that students with disabilities receive the necessary support in their educational environment. This guide will provide you with comprehensive and step-by-step instructions to assist you in completing the form effectively and accurately.

Follow the steps to complete your accommodation request successfully.

1. Begin by pressing the ‘Get Form’ button to access the document and open it for editing.
2. Provide the date you are submitting the request in the specified field. This helps to establish a timeline for your request.
3. Fill in your name in the space provided for the person submitting the request, specifying your relationship to the student.
4. Enter the District Borough Number (DBN) for the school associated with the student.
5. Input the student's name and student identification number (ID #) in the respective fields.
6. Indicate the school name where the student is enrolled.
7. Provide the date of birth (DOB) for the student.
8. Mention the grade or class the student is currently in.
9. In the designated area, describe your concerns regarding the student’s educational performance and how these concerns impact their learning.
10. List the specific accommodations you are requesting based on the previously mentioned concerns. It is advisable to consult with the school-based 504 Coordinator if you have questions about these accommodations.
11. For the school's review, check all requested accommodations in the appropriate sections, including testing accommodations, classroom and curriculum accommodations, and academic supports.
12. If applicable, complete Part 2A by having a physician fill out their information, including the medical diagnosis that supports the need for accommodations.
13. Make sure to complete Part 2B, where parental consent is required. Here, the parent or guardian must provide their name, signature, and daytime telephone number.
14. Finally, review all information for accuracy. Save any changes you've made, and consider downloading, printing, or sharing the form as needed.

Take action today by filling out and submitting your request for Section 504 accommodations online.