NYC Department of Education Section 504 Accommodation Form
This file provides a comprehensive Section 504 Accommodation Plan for students with disabilities. It includes guidelines for creating and reviewing accommodation plans. Parents and educators can use this plan to ensure students receive necessary support.
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How do I fill this out?
To fill out this form, start by gathering all necessary information about the student’s disability and accommodations required. Next, ensure that you have relevant documentation at hand, including previous evaluations and reports. Finally, complete the form by entering all specified details, signing, and submitting it as instructed.

How to fill out the NYC Department of Education Section 504 Accommodation Form?
1
Gather student information and relevant disability documentation.
2
Meet with the 504 Team, including the parent/guardian, to discuss accommodations.
3
Fill out each section of the form according to the provided guidelines.
4
Review the completed plan with all stakeholders before finalizing.
5
Submit the signed form to the designated 504 Coordinator.
Who needs the NYC Department of Education Section 504 Accommodation Form?
1
Students with documented disabilities who require accommodations.
2
Parents or guardians who advocate for their child's educational needs.
3
Educators and school staff involved in the 504 planning process.
4
504 Coordinators who manage and implement accommodation plans.
5
Healthcare professionals providing supporting documentation for students.
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What are the instructions for submitting this form?
To submit this form, send it to the designated 504 Coordinator at your school. You can also fax it to (212) 123-4567 or email it to 504coordinator@school.nyc. It's important to ensure that your submission method is confirmed with your school’s administration.
What are the important dates for this form in 2024 and 2025?
Important dates for the Section 504 Accommodation Plan are as follows: Annual reviews must be conducted before each school year ends. In 2024, plans should be reviewed by June 15th, and in 2025, by May 30th. Additionally, any mid-year changes must be addressed as they occur.

What is the purpose of this form?
The purpose of this form is to provide a structured framework for accommodating students with disabilities in the educational environment. It ensures that students receive personalized support to help them succeed academically and socially. By outlining required accommodations, this plan fosters an inclusive educational experience.

Tell me about this form and its components and fields line-by-line.

- 1. Student Name: The full name of the student requiring accommodations.
- 2. Disability/Diagnosis: Details about the student’s disability or medical diagnosis.
- 3. OSIS#: Unique identification number for the student in the NYC school system.
- 4. DOB: The student's date of birth for identification.
- 5. Emergency Contact Details: Information for individuals to contact in case of an emergency.
- 6. 504 Team Information: A section where the 504 Team members are recorded.
- 7. Services & Accommodations: The accommodations and services that will be provided to the student.
What happens if I fail to submit this form?
Failing to submit this form may result in the student not receiving necessary accommodations, leading to an inequitable educational experience. It's crucial that all relevant information is communicated in a timely manner.
- Delayed Support: Students may not receive the support they need to thrive.
- Legal Implications: Schools may face challenges if proper accommodations are not provided.
- Increased Stress: Parents and students may experience heightened stress due to inadequate planning.
How do I know when to use this form?

- 1. New Students: For incoming students requiring accommodations.
- 2. Annual Reviews: To review and update existing accommodation plans.
- 3. Mid-Year Changes: When a student’s disability or needs significantly change.
Frequently Asked Questions
How do I download the Section 504 Accommodation Plan?
You can download the Plan from PrintFriendly after editing it to your satisfaction.
What types of accommodations can be requested?
Accommodations may include additional time on tests, assistive technology, or modified environments.
How can I get help filling out the form?
Assistance is available from your school’s 504 Coordinator or a knowledgeable educator.
Are there deadlines for submitting the form?
Yes, the form should be submitted by the end of the school year or as needed based on changes.
Can multiple people edit the same document?
Yes, you can share the document link for collaborative editing.
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Can I annotate on the PDF?
Yes, you can add annotations during the editing process.
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Absolutely, you can preview your document before downloading it.
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