Generic 504 plan request
When to use: Use when your child has a documented disability that substantially limits a major life activity and you are requesting a Section 504 plan for the first time. Section 504 covers any student with a disability, even when an IEP is not warranted.
[Date] [Section 504 Coordinator Name] / [Principal Name] [School Name] [School District] [Address] Re: Request for Section 504 Plan, [Child's Name], [Grade] Dear [504 Coordinator / Principal], I am writing to formally request that [School Name] develop a Section 504 plan for my child, [Child's Name], a [grade] student. Under Section 504 of the Rehabilitation Act of 1973 and 34 CFR Part 104, a student with a disability that substantially limits one or more major life activities is entitled to a plan of accommodations that ensures equal access to educational benefits. [Child's Name] has been diagnosed with [diagnosis] by [provider, on date if known]. The disability substantially limits the following major life activities: [for example, learning, concentrating, reading, communicating, regulating emotions, sleeping]. In school, the disability affects [Child's Name] in these specific ways: - [Specific impact, for example: difficulty focusing during sustained instruction] - [Specific impact, for example: sensory overload in lunchroom and assemblies] - [Specific impact, for example: difficulty completing timed assessments] I am requesting: 1. A Section 504 evaluation meeting to be scheduled within a reasonable time. 2. Consideration of the following accommodations, which I believe would address the impact of the disability: [example accommodations: extended time, sensory breaks, preferential seating, alternative testing environment, written instructions in addition to oral, etc.]. 3. A written Section 504 plan documenting accommodations, the staff responsible for implementation, and the review schedule. 4. Copies of the district's Section 504 procedures and the parent's rights under Section 504. Attached is documentation from [Provider Name] describing the diagnosis. Please confirm receipt of this letter in writing within five business days and let me know the next step. Thank you for your attention. Sincerely, [Parent's Name] [Phone] [Email] Attached: [Diagnostic documentation / medical records]
Customize this template for your situation
Tell us what's different about your situation and the letter will rewrite to match. A few sentences is plenty:
- What happened?
- What did the school say?
- What outcome do you want?