School Form 504 PDF Details

In the realm of educational support, the School 504 form serves as a crucial blueprint for ensuring that students with disabilities receive the accommodations necessary for a successful learning experience. Originating from the School District of Palm Beach County's Department of Adult and Community Education, this comprehensive document aims to bridge the gap between students' needs and their educational opportunities. By meticulously assessing whether a student's physical or mental impairment significantly hinders major life activities, it sets the groundwork for establishing eligibility under Section 504. Furthermore, the form seeks verification of the disability, which is a pivotal step in the process. Assuming eligibility is confirmed, the dialogue shifts towards identifying and implementing specific instructional accommodations, assistive technologies, and support services tailored to the student's unique requirements. These may encompass a wide array of strategies ranging from oral reading of text to the provision of alternative formats such as Braille or taped content, among other auxiliary aids. Additionally, educational adaptations extend to testing strategies, classroom seating arrangements, scheduling flexibility, and even augmentative technologies like calculators and audio recorders. Ensuring a cohesive effort, the form facilitates collaboration among all stakeholders—including the student, educators, and parents or guardians—throughout its execution, underscored by their requisite signatures. This methodical approach underscores an unwavering commitment to facilitating access to education for students with disabilities, affirming the form's pivotal role in promoting inclusivity within the academic landscape.

QuestionAnswer
Form NameSchool Form 504
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespbsd 504 school accommodation, 504 plan florida, what is a 504 form for school, 504 form for school

Form Preview Example

THE SCHOOL DISTRICT OF PALM BEACH COUNTY

DEPARTMENT OF ADULT AND COMMUNITY EDUCATION

Section 504 School Site Accommodation Plan

Name:

 

 

 

 

 

 

Date:

 

Student ID#:

 

 

Date of Birth:

 

 

School:

 

 

 

 

Program:

 

 

 

 

 

Instructor:

 

 

 

 

Yes

No

1. Does the student have a physical or mental impairment which substantially limits a major

 

 

 

 

life activity? If YES, describe the limitation(s).

 

 

 

 

 

Yes

No

2. Is written verification of the disability on file? If YES to questions 1 and 2, student meets

 

Section 504 eligibility criteria.

Yes

No

3. Does the student's disability require any instructional accommodations and/or related

 

aids and services in order for the student to benefit from his/her educational experience?

The student's specific needs are:

The following accommodations/strategies may be implemented to meet the student's needs:

 

Instructional

 

Assistive Technology con't

 

Support Services

 

 

Oral reading of text

 

 

Calculator

 

 

Interpreter (hearing impaired/deaf)

 

 

Alternative text (taped,

 

 

Headphones

 

 

Note taker

 

 

large print, Braille)

 

 

Furniture adaptations

 

 

Peer buddy

 

 

 

 

 

 

 

 

 

Video, etc.

 

 

Computer devices/software

 

 

Volunteer/mentor

 

 

Tutoring

 

 

Closed captioning

 

 

Other

 

 

Study skills

 

 

Other

 

 

 

 

 

 

Test taking strategies

 

 

 

 

Miscellaneous

 

 

Flexible setting

 

Testing

 

 

State exam assistance

 

 

Preferential seating

 

 

Flexible scheduling

 

 

Agency referral

 

 

Extended program time

 

 

Oral testing

 

 

Counseling

 

 

Other

 

 

Additional time

 

 

Behavior/attendance contract

 

 

 

 

 

Reader

 

 

Time Management

 

Assistive Technology

 

 

Audio version

 

 

Other

 

 

Tape recorder

 

 

Revised format

 

 

 

 

 

 

Electronic speller

 

 

Flexible response recording

 

 

 

 

 

 

Magnifier

 

 

Other

 

 

 

 

 

Other accommodations/strategies:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signatures of Plan Participants:

Signature of Student

 

 

Date

 

 

Signature of LEA Representative

Date

 

 

 

 

 

 

 

 

 

Signature of Instructor

 

 

Date

 

 

Signature of Parent/Guardian (if applicable)

Date

 

 

 

 

 

 

 

 

 

Signature of Data Processor

 

 

Date

 

 

 

 

 

PBSD 2405 (New: 1/15/2014)

ORIGINAL - ESE Folder

COPY - Fax to Department of Adult and Community Ed 561-649-6028

How to Edit School Form 504 Online for Free

With the online PDF tool by FormsPal, you may complete or modify 504 form for school right here and now. The editor is continually upgraded by our team, receiving cool features and becoming better. Here is what you'll want to do to get going:

Step 1: First of all, open the tool by clicking the "Get Form Button" above on this webpage.

Step 2: When you launch the online editor, you'll see the form made ready to be filled out. Other than filling in various blank fields, you might also perform some other things with the Document, particularly writing any words, modifying the original text, inserting graphics, putting your signature on the PDF, and more.

This document will need particular details to be filled out, so be sure you take your time to provide precisely what is asked:

1. It is critical to complete the 504 form for school accurately, hence be careful when working with the areas containing all these blank fields:

pbsd2405 504 printable completion process detailed (stage 1)

2. Just after performing the previous step, go to the next stage and complete all required details in all these blanks - Calculator, Headphones, Furniture adaptations, Interpreter hearing impaireddeaf, Note taker, Peer buddy, Computer devicessoftware, Volunteermentor, Closed captioning Other, Testing, Flexible scheduling Oral testing, Additional time, Reader Audio version, Revised format Flexible response, and Other.

Ways to fill out pbsd2405 504 printable stage 2

You can certainly make a mistake when filling out your Peer buddy, consequently be sure to reread it prior to when you submit it.

3. Within this stage, take a look at Signature of Student, Date, Signature of LEA Representative, Date, Signature of Instructor, Date, Signature of ParentGuardian if, Date, Signature of Data Processor, Date, PBSD New, and ORIGINAL ESE Folder COPY Fax to. Each one of these should be taken care of with highest attention to detail.

Completing part 3 of pbsd2405 504 printable

Step 3: You should make sure the details are correct and then simply click "Done" to conclude the task. Right after setting up a7-day free trial account at FormsPal, you will be able to download 504 form for school or send it via email right away. The PDF form will also be available through your personal cabinet with all your modifications. FormsPal provides risk-free form editing devoid of data record-keeping or any type of sharing. Be assured that your data is in good hands here!

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