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Self-Advocacy Tool: Request for Determination of Eligibility for a §504 Plan

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This tool allows parents, guardians, Educational Decision Makers (EDMs), and surrogate parents to request that their child be evaluated to determine their eligibility for a §504 Accommodations Plan. Students are entitled to a §504 Plan if they have any qualifying disability, including, for example, anxiety, depression, or ADHD. A §504 Plan is a legal document that ensures students with certain disabilities receive the accommodations, supports, and services they need to access school. Please be as specific as possible when completing this tool and list any education concerns you may be having about your child in as much detail as possible.  Here is a guide that you can use to complete the tool or help a parent or caregiver to complete the tool.

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