Sevier form system 504 pdf 2026

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  1. Click ‘Get Form’ to open the Sevier Form System 504 PDF in the editor.
  2. Begin by entering the referral date at the top of the form. This is essential for tracking purposes.
  3. Fill in the student’s name and date of birth in the designated fields. Accurate information here is crucial for identification.
  4. Next, provide parent or guardian details, including their name and telephone number, ensuring that all contact information is correct.
  5. Indicate the school and grade level of the student, along with the teacher's name. This helps contextualize the referral.
  6. In the 'Reason for Referral' section, clearly articulate the concerns leading to this referral. Use bullet points if necessary for clarity.
  7. Document any interventions already attempted to resolve these concerns in detail, as this will inform further evaluations.
  8. Once completed, review your entries for accuracy before submitting. Ensure that all required fields are filled out appropriately.

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Be sure to include: The name of your childs disability or health condition. Any records of your childs diagnosis, which you can include as an attachment in your email. One or more daily activities that your child is struggling with, like learning, reading, or concentrating.
Under Section 504, a district must evaluate a student if the district knows or suspects that the student, because of a disability, needs special education or related services to participate in or benefit from its educational program, regardless of whether the student has a medical diagnosis.
Sample Accommodations for Anxiety or OCD Separate set of books for home. Has own set of supplies (crayons, scissors, tape) vs. using community supplies. May take hand-outs first before others have touched them. Scheduled bathroom breaks/use of low-traffic bathroom. May leave class a minute early to avoid hallway congestion.

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A student must be determined to: (1) have a physical or mental impairment that substantially limits one or more major life activities [learning is considered a major life activity]; or (2) have a record of such an impairment; or (3) be regarded as having such an impairment. An important consideration in determining
A 504 plan lists reasonable accommodations and services for students who are eligible. The accommodations and services help students access their education, so disability isnt a barrier.
The 504 Plan should be a detailed document that outlines the specific accommodations and modifications that will be provided for your child. It should clearly state any adaptations to the curriculum, assistive technology that will be used, any physical or medical accommodations, and any other necessary modifications.

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