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Get Request for Section 504 Accommodations 2016-2024

Udent ID# Relationship to Student: / / Name of 504 Coordinator PART 1: To be completed by the parent/guardian; submit to the school 504 Coordinator Describe the concern below and how it affects the student’s educational performance: Indicate accommodations requested based on the concern above. Please consult the school-based 504 Coordinator with any questions. Testing Accommodations Request for Educational Accommodation(s) Check all requested: For school use only Approve Deny Test sche.

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