Get 504 Parent Input Form

Filling out the 504 Parent Input Form online is an important step in ensuring that your child receives the necessary accommodations for their educational needs. This guide provides clear instructions to help you navigate through the form effectively.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the student's name in the designated field. This will help identify the individual for whom the accommodations are requested.
3. Next, input the date of birth for the student. Accurate information is crucial for processing the request.
4. In the 'School' field, specify the name of the school that your child attends. This information is needed for the school's 504 team.
5. Fill in the 'Grade Level' to indicate the current grade your child is in. This aids in understanding your child's educational context.
6. Provide details about the medical diagnosis for Section 504 disability. Attach any relevant medical documentation or evaluations that support the request.
7. Describe the frequency and circumstances in which the condition affects your child. This helps the team understand the impact on daily life.
8. Explain how the medical diagnosis is affecting your child's performance in school. This section is crucial for assessing the necessary accommodations.
9. If applicable, indicate whether your child has mentioned any specific difficulties or issues they face at school. Your insights are valuable for the 504 team.
10. List the accommodations you feel are necessary for your child to benefit from school. Be specific to ensure that the supports requested are clear.
11. Document any medications your child is currently taking. This information is essential for understanding their health needs.
12. Describe any side effects your child experiences from these medications. It is crucial for the 504 team to have a full picture of your child's health.
13. Note any significant family changes in the last three years, as these can impact your child's school experience and support needs.
14. Indicate whether you are working with any other agencies that may support your child's needs. This information can help coordinate services.
15. Finally, ensure to sign and date the form at the bottom. This provides consent for the information provided and authorizes the 504 team to consider the input given.
16. Once you have completed all sections, save your changes, and consider downloading, printing, or sharing the form as necessary.

Complete your documents online to ensure your child receives the support they need.