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Section 504/ADA

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SECTION 504/American Disability Act (ADA)
 
Donna LeFevre
Section 504 Coordinator

25 Quality Street
Munfordville, KY 42765

PHONE: 270-524-2631
FAX: 270-524-2634

donna.lefevre@hart.kyschools.us

 

 



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FORM LIST for Referral Meeting:
Section 504 Forms


A Guide to Section 504 Forms...

FORM LIST for Referral Meeting:
--- Notice of Conference (to send home)
--- Parent Rights (to send home & have at meeting)
--- Conference Summary
--- Referral
--- Consent for Evaluation/Reevaluation
--- Physician's Questionnaire (if medical related condition)

FORM LIST for Evaluation Results/Eligibility Review Meeting:
(to be used for review of results at BOTH an initial evaluation AND a three-year reevaluation meeting)

--- Notice of Conference (to send home)
--- Parent Rights (for meeting)
--- Conference Summary
--- Evaluation Report (person completing this shall provide)
--- Evaluation Summary
--- Eligibility Determination
--- Accommodation Plan (in case student qualifies)


FORM LIST for Annual Review Meeting:
(Annual Review Meetings for reviewing & developing Accomodation Plan minimum yearly
basis to the last date for students already identified & placed in the Section 504 Program)


--- Notice of Conference (to send home)
--- Parent Rights (for meeting)
--- Conference Summary
--- Accommodation Plan


FORM LIST for Three-Year Reevaluation Meeting:
(Three-Year Reevaluation Meetings for reviewing (always), retesting (if applicable), & redetermining eligibility (always) occur at a minimum of every 3 years to the last date for students already identified & placed in the Section 504 Program)

--- Notice of Conference (to send home)
--- Parent Rights (for meeting)
--- Conference Summary
--- Consent for Evaluation/Reevaluation
--- Physician's Questionnaire (if medical related condition)


FORM LIST for Disciplinary Meeting:
--- Notice of Conference (to send home)
--- Parent Rights (for meeting)
--- Conference Summary
--- Hearing & Review Procedures
--- Manifestation Determination
--- Accommodation Plan (in case a new one should be written to help address behavioral issues at hand - will not necessarily be utilized)


--- RECOMMENDATION: It is recommended that you locate two additional pieces of paperwork found in Infinite Campus (Functional Behavioral Assessment [FBA] & Behavioral Intervention Plan [BIP]) - personnel from special education department can assist with locating these as both should be completed for any student with behavioral concerns.

 

FORMS:

Form1: Section 504 Notice of Conference

Form2A-D: Section 504 Student Referral

Form3: Section 504 Parent Notice of Referral

(use Form 3 only when guardian did not attend meeting)


Form4A-B: Section 504 Parent Rights

Form5: Section 504 Consent for Evaluation (Initial & Re-Evaluation)

Form6A-B: Section 504 Conference Summary

 

 

504 Accommodation Plan: 
userfiles/997/504 Accommodation Plan.doc

504 Eligibility Determination:
userfiles/997/504 Eligiblity Determination.doc

504 Evaluation Summary:
userfiles/997/504 Evaluation Summary.doc

504 Hearing & Review Procedures:
userfiles/997/504 Hearing and Review Procedures.doc

504 Manifestation Determination:
userfiles/997/504 Manifestation Determination.doc

504 Notice of Eligibility:
(guardian did not attend meeting)
userfiles/997/504 Notice of Eligibility (no show).doc

504 Physician's Questionnaire:
/userfiles/997/504 Physician's Questionnaire.doc