The School 504 form is a critical document designed by The School District of Palm Beach County Department of Adult and Community Education. It outlines a Section 504 School Site Accommodation Plan, establishing the groundwork necessary for students with disabilities to access educational programs and services. To learn more about how to ensure that every student's needs are addressed, click the button below to start filling out the form.
The School District of Palm Beach County has developed the Section 504 School Site Accommodation Plan, an essential document designed to support students with physical or mental impairments that significantly impact major life activities. This form serves as a cornerstone for ensuring that eligible students receive the necessary accommodations and services to participate fully in their educational experiences. It begins by identifying whether a student has an impairment that substantially limits a major life activity, followed by verification of the disability on file to establish Section 504 eligibility. Crucially, it outlines whether the student's disability necessitates instructional accommodations or related aids and services, detailing specific needs and the accommodations or strategies that may be implemented. These can range from instructional support, assistive technology, test-taking strategies, to behavioral contracts, among others, tailored to each student's unique requirements. By involving all stakeholders through required signatures from students, LEA representatives, instructors, and parents or guardians where applicable, the plan formalizes a collaborative approach to facilitating students' educational success. As such, this form is a pivotal tool in the commitment of the School District of Palm Beach County to inclusivity and equal access to education for all students.
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).
2. Is written verification of the disability on file? If YES to questions 1 and 2, student meets
Section 504 eligibility criteria.
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
Test taking strategies
Miscellaneous
Flexible setting
Testing
State exam assistance
Preferential seating
Flexible scheduling
Agency referral
Extended program time
Oral testing
Counseling
Additional time
Behavior/attendance contract
Reader
Time Management
Assistive Technology
Audio version
Tape recorder
Revised format
Electronic speller
Flexible response recording
Magnifier
Other accommodations/strategies:
Signatures of Plan Participants:
Signature of Student
Date
Signature of LEA Representative
Signature of Instructor
Signature of Parent/Guardian (if applicable)
Signature of Data Processor
PBSD 2405 (New: 1/15/2014)
ORIGINAL - ESE Folder
COPY - Fax to Department of Adult and Community Ed 561-649-6028
After gathering the necessary information and documentation for a student who may qualify for accommodations under Section 504 of the Rehabilitation Act, the next step is to complete the School 504 form. This formal documentation will serve as the foundation for any accommodations or modifications in the student's educational plan, ensuring they receive the support they need. Completing the form accurately is critical to expedite the accommodation process.
Steps for Filling Out the School 504 Form:
By carefully following these steps, students who require accommodations will be better supported in their educational journey, creating a more inclusive and accessible learning environment for everyone. Make sure to review the form for accuracy and completeness before submission to ensure a smooth and efficient process.
What is a School 504 Plan?
A School 504 Plan is a plan developed in educational settings under Section 504 of the Rehabilitation Act of 1973. It's designed to provide support and accommodations to students with disabilities, ensuring they have equal access to education. These accommodations may include adjustments in the learning environment, instructional strategies, or utilization of assistive technology, tailored to the student's individual needs.
Who is eligible for a School 504 Plan?
Eligibility for a School 504 Plan is determined based on whether a student has a physical or mental impairment that substantially limits one or more major life activities. If verified documentation of such a disability is on file and the disability necessitates instructional accommodations for the student to benefit from their education, the student qualifies for a 504 Plan.
How is a disability defined under Section 504?
A disability, as defined under Section 504, refers to any physical or mental impairment that substantially restricts one or more major life activities. This can include, but is not limited to, conditions like ADHD, learning disabilities, mobility impairments, and chronic health issues that interfere with daily functioning.
What types of accommodations are available under a 504 Plan?
The accommodations under a 504 Plan can vary widely, tailored to the student's needs. Examples include preferential seating, extended time for tests, modified assignments, the use of assistive technology, and adjustments to the classroom environment or teaching methods. The aim is to remove barriers to learning caused by the disability.
How is a School 504 Plan developed?
The development of a School 504 Plan is a collaborative process involving educators, parents or guardians, and often the student. The team assesses the student's needs and determines the appropriate accommodations. The plan is documented and includes specific strategies and aids to be used, as well as roles and responsibilities of those involved.
Is written verification of a disability required for a 504 Plan?
Yes, to qualify for a 504 Plan, there must be written verification of the student's disability on file. This documentation can come from various sources, including medical providers, psychological evaluations, or other professional assessments that clearly verify the disability and its impact on the student's learning.
What happens if a student's needs change?
A 504 Plan is a living document, meaning it should be regularly reviewed and updated as needed. If a student's needs change, the plan participants, including educators and parents or guardians, can meet to revise the accommodations and strategies to ensure they continue to support the student's education effectively.
Are schools required to comply with a 504 Plan?
Yes, under Section 504 of the Rehabilitation Act of 1973, schools receiving federal funding are required to comply with established 504 Plans. Failure to adhere to the accommodations and supports outlined in the plan can be considered a violation of a student's rights.
How does a 504 Plan differ from an IEP?
A 504 Plan and an Individualized Education Program (IEP) both aim to support students with disabilities, but there are key differences. A 504 Plan provides accommodations based on a student's disability to ensure access to education. In contrast, an IEP, provided under the Individuals with Disabilities Education Act (IDEA), offers more comprehensive services and supports, including individualized instruction and possibly related services, designed for students who qualify for special education.
Who should I contact if I believe my child needs a 504 Plan?
If you believe your child may be eligible for a 504 Plan, the first step is to contact your child's school. Schools will typically have a 504 coordinator or a similar point of contact who can guide you through the process of requesting an evaluation and developing a plan if your child is eligible.
One common mistake made when filling out the School 504 form is overlooking the requirement to provide written verification of the disability. It is essential to have documentation on file as this is a critical step in establishing eligibility under Section 504. Without this, the process may be delayed or the application might not be considered valid.
Another error is failing to accurately describe how the physical or mental impairment substantially limits a major life activity. It's important to provide specific details rather than general statements to ensure that the plan meets the student's unique needs.
Some individuals mistakenly believe that answering "Yes" to the questions regarding impairment and verification automatically means accommodations will be awarded. However, the form also requires a detailed account of the student's specific needs and how these relate to their disability, which is often overlooked.
A frequent oversight is not fully considering the range of instructional accommodations, assistive technologies, or support services available. By not exploring all options, one might miss out on beneficial accommodations that could significantly enhance the educational experience.
Often, the section for listing specific accommodations or strategies is filled out with vague or generic terms. The effectiveness of the 504 Plan hinges on clear, precise, and customized strategies tailored to the student's situation, which requires thoughtful consideration and planning.
Ignoring the importance of collaborative input is another misstep. The form includes spaces for signatures from various stakeholders, including the student, parent/guardian, instructor, and LEA representative. Each party's input and agreement are crucial for the plan's success, yet sometimes not all parties are adequately consulted.
Forgetting to date the signatures is a simple but significant error. Dates are essential for tracking the plan's implementation and for future reviews or updates. Without dates, it's difficult to ensure timely follow-up or reassessment.
Another mistake is not considering the need for updates to the form. As students grow and change, their needs may also evolve. Failing to revisit and revise the plan as necessary can result in accommodations that are no longer appropriate or effective.
Some people do not make use of the "Other" sections to specify accommodations or strategies that are not listed but might be highly relevant to the student’s success. This oversight can lead to missing out on unique or innovative supports that could make a substantial difference.
Last, there is often a failure to send a copy of the completed form to the Department of Adult and Community Education, as required. This step is vital for the record-keeping process and ensures that the student receives proper support across different platforms within the educational system.
Ensuring students with disabilities receive appropriate education tailored to their individual needs is pivotal. The School 504 plan, designed to offer accommodations, is just one tool among many that can help achieve this goal. To craft a comprehensive support strategy, various other documents often complement the School 504 form, each serving a unique purpose in safeguarding the educational rights and meeting the needs of students with disabilities.
Together, these documents form a network of support around students with disabilities, ensuring their educational experience is both accessible and effective. The collaborative efforts of educators, healthcare providers, and parents, guided by these documents, are essential in creating an inclusive environment where every student has the opportunity to succeed.
The Individual Education Plan (IEP) shares similarities with the School 504 form, as both are designed to ensure students with disabilities receive appropriate accommodations in their educational environment. The IEP, however, is more specific to students receiving special education services under the Individuals with Disabilities Education Act (IDEA), focusing on tailored educational goals and objectives, alongside the accommodations similar to those outlined in a 504 Plan.
An Americans with Disabilities Act (ADA) accommodation request form is another document akin to the School 504 form. Both instruments are guided by federal laws aimed at preventing discrimination against individuals with disabilities. While the ADA form is used in a variety of settings, including employment and public accommodations, the School 504 form is specific to educational contexts, ensuring students have the necessary accommodations to access their education fully.
The Health Care Plan for students with medical needs is somewhat parallel to the School 504 form in its purpose of outlining accommodations or services for students. However, it uniquely focuses on the medical and health-related accommodations necessary for students with health conditions to safely attend school, sometimes including emergency action steps, unlike the broader focus of the School 504 form which encompasses various types of disabilities.
The Job Accommodation Network (JAN) Accommodation and Compliance Series forms are used by employers to determine reasonable accommodations for employees with disabilities, similar to how the School 504 form identifies educational accommodations for students. Although serving different populations, both types of documents aim to facilitate the success of individuals by mitigating barriers posed by disabilities.
College Disability Services Accommodation forms provide accommodations for students with disabilities in higher education, much like the School 504 form does at the K-12 level. These college forms ensure that students have equal access to educational opportunities, including modifications to coursework, testing accommodations, and other supports needed to navigate the academic environment.
An Employee Health and Wellness Program accommodation request form, while primarily aimed at workplace adjustments for employee health and well-being, shares the goal of providing necessary adjustments for individuals with disabilities, similar to the objective of the School 504 form. Although one is used in employment and the other in an educational setting, both seek to identify and implement accommodations or modifications that support the individual’s success.
A Special Education State Complaint form is utilized when individuals believe there has been a violation in the provision of services to students with disabilities, which could include issues related to 504 plans. While this form functions as a tool for reporting and investigating complaints, it intersects with the School 504 form’s mission of ensuring students' rights are upheld in educational settings.
The Patient Request for Medical Accommodation form used in healthcare settings also aims to ensure individuals with disabilities receive necessary accommodations, mirroring the purpose of the School 504 form. Though one is utilized in educational contexts and the other in healthcare, both documents facilitate access to essential services and support for people with disabilities.
Last, the Accessibility Feedback Form, commonly used by organizations to receive input on the accessibility of their services or environment, indirectly supports the objectives of the School 504 form. By gathering feedback, organizations can make informed decisions about necessary accommodations or modifications, much like how the School 504 form outlines specific supports for students to ensure their full participation in education.
When filling out the School 504 Plan, it's important to focus on accuracy and thoroughness to ensure the student gets the necessary support. Here’s a guide to help navigate the process:
By following these guidelines, the process of filling out the School 504 Plan can be smooth and effective, ensuring that students receive the support they need to succeed in their educational environment.
Misconceptions about the School 504 Plan often arise due to misunderstandings about its purpose and implementation. Here are five common myths, along with explanations to help clarify these points.
This is a misconception as Section 504 covers any qualifying disability, physical or mental, that substantially limits one or more major life activities. This includes conditions such as ADHD, learning disabilities, and anxiety, as well as physical disabilities.
While academic support is a significant component, 504 Plans can also provide for non-academic needs, including extracurricular activities, transportation, and health services, ensuring that students have equal access to all aspects of school.
While medical documentation can support a request for a 504 Plan, it is not always required. Schools can also consider evaluations from qualified school professionals and information provided by the parent or guardian.
This isn't necessarily true. While IEPs and 504 Plans are designed for different purposes and needs, a 504 Plan can offer accommodations that are just as impactful for a student. The key is that the accommodations under a 504 Plan should allow the student to equally access education in comparison to their peers.
Accommodations under a 504 Plan are subject to review and can be adjusted depending on the student's changing needs. Schools are required to periodically reassess the plan to ensure it continues to provide appropriate support.
Understanding these misconceptions can lead to a better appreciation of how 504 Plans are designed to support students with disabilities in the educational environment, ensuring they have access to the same opportunities as their peers.
Understanding the School 504 Plan is crucial for parents, educators, and students to ensure that every student with a disability has the opportunity to receive an appropriate education. Here are five key takeaways about filling out and using the School 504 form:
Eligibility Requirements: The form starts by assessing a student's eligibility for a 504 Plan. A student must have a physical or mental impairment that substantially limits one or more major life activities. It's important to provide clear documentation of the disability to meet the eligibility criteria.
Documentation Is Key: For a student to qualify for accommodations under Section 504, written verification of the disability must be on file. This documentation often includes medical records or evaluations from qualified professionals. Without this, the process cannot move forward.
Specific Accommodations: The form requires a detailed account of the student's specific needs and the accommodations or strategies that might be employed to address these needs. This could include instructional support, assistive technology, or changes to the testing environment. It highlights the necessity for an individualized approach.
Collaboration Is Essential: Completing the 504 Plan is a collaborative process involving signatures from the student (if applicable), a representative of the Local Education Agency (LEA), the instructor, the parent or guardian, and the data processor. This emphasizes the importance of agreement among all parties involved regarding the decided accommodations.
Maintain Updated Copies: After all relevant signatures are gathered, the original document is to be kept in the student's Educational Service (ESE) folder, and a copy must be faxed to the Department of Adult and Community Education. Keeping updated copies in easily accessible places ensures that the student's accommodations are implemented consistently across all environments and by all personnel involved.
Properly filling out and using the School 504 form is a step toward creating an inclusive educational environment where every student is provided the tools they need to succeed, regardless of their disabilities. It not only outlines the specific requirements of the student but also legally ensures the provision of these necessities.
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