[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-355547-105":53,"doc-detail-355547-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","section-504-accommodation-plan-fillable-template","Section 504 Accommodation Plan - Fillable Template","","Section 504 Accommodation Plan template for students with diabetes requiring school accommodations. Captures school year dates, 504 team meeting details, and student & family information including preferred language(s), classroom teacher, and emergency contacts. Provides a structured workflow for completing and reviewing authorized services and accommodations, including test accommodations and related medical or safety supports. Includes staff responsibility assignment tables, administrative use sections, approval and consent signatures, and a checklist for uploaded supporting documents such as notices, attendance sheets, and the signed 504 plan.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/section-504-accommodation-plan-fillable-template/355547/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/section-504-accommodation-plan-fillable-template/355547.png","ImageObject",442,249,{"name":88,"@type":89},"Bulrr","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"Who completes the Section 504 Accommodation Plan and what inputs are required?","Question",{"text":109,"@type":110},"The 504 Coordinator completes the plan with 504 Team input, including parent/guardian, based on relevant documentation such as evaluations, reports, medical records, and school information like referrals, health information, and teacher comments.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What accommodations and services does the plan authorize and how are they recorded?",{"text":114,"@type":110},"The 504 Coordinator enters all authorized services and accommodations, specifies the accommodation details, and marks non-applicable fields as N/A. The template includes checkboxes and descriptions for items like testing accommodations and health or safety supports.",{"name":116,"@type":107,"acceptedAnswer":117},"What approvals, consent, and documentation are included in the template?",{"text":118,"@type":110},"The template includes parent/guardian consent language and an approved and received section requiring signatures from the parent/guardian and school administrator/504 Coordinator. It also provides an upload checklist for required documents such as notices, eligibility determination, meeting attendance sheet, and the signed 504 plan.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},355547,1791420798,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},5909892115043,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Section 504 Accommodation Plan*  \nSchool Year:   Date of 504 Team Meeting:    \nSchool DBN and Name:  *For students with diabetes who require accommodations, utilize the Diabetes Section 504 Accommodation Plan Template.  \nThis Plan will be reviewed as needed and before the end of each school year and, if necessary, amended at the time of thereview. Parent/guardian will inform the 504 Coordinator of any changes to the student’s disability at any point during the school year that may require review of this Plan.  \nThe 504 Coordinator will complete this Plan with 504 Team (including parent/guardian) input and based upon relevant documentation (e.g., reports, evaluations and/or medical records (including diagnoses) provided by the student’s parent/guardian, student’s disciplinary referrals, health information, language surveys, parent/guardian information, standardized test scores, grades, and teacher comments) .  \nThe student will be permitted to participate in all DOE field trips and DOE extracurricular activities (such as DOE afterschool activities, sports, clubs, and enrichment programs) without restriction and with all of the accommodations and modifications, including necessary care by identified school personnel, set out in this Plan. The student's parent/guardian will not be required to, but may choose to, accompany the student on field trips or any other school activity.  \nStudent & Family Information  \nStudent Name:   Disability/Diagnosis:   OSIS\\#:   DOB:    \nParent/Guardian Preferred Spoken and Written Language(s):  Classroom/ Homeroom Teacher:   Grade:    \nParaprofessional Name (if applicable):   Home Address:    \nEmergency Contact Detail  \nContact 1:  \nName:   Relationship to Student:    \nHome Phone Number:   Work Phone Number:    \nCell Phone Number:    \nContact 2:  \nName:   Relationship to Student:    \nHome Phone Number:   Work Phone Number:    \nCell Phone Number:    \nEmergency Contact Instructions: In the event of emergency, the student’s Plan and MAF (if relevant) will remain in effect.  \n504 Team Information  \n\n| Name | Role |\n| --- | --- |\n| 1. | 504 Coordinator |\n| 2. | Parent/Guardian |\n| 3. |  |\n| 4. |  |\n| 5. |  |\n| 6. |  |\n\nService & Accommodations  \n504 Coordinator enters all authorized Services & Accommodations, specifies the accommodations to be provided (e.g.: Test Accommodations – smaller setting with no more than 12 students, extended time to 1.5, 5 minute break every 30 minutes), and marks any fields not applicable N/A.  \nAccommodation and Description of Accommodation  \n☐ ACCESSIBLE SITE  \n☐ AIR CONDITIONING  \n☐ AMBULATION ASSISTANCE  \n☐ ASSISTIVE TECHNOLOGY  \n☐ CLASSROOM ACCOMMODATIONS  \n☐ N/A  \n☐ N/A  \n☐ N/A  \n☐ N/A  \n☐ N/A  \n☐ New  \n☐ New  \n☐ New  \n☐ New  \n☐ New  \n☐ Renewal  \n☐ Renewal  \n☐ Renewal  \n☐ Renewal  \n☐ Renewal  \nAccommodation and Description of Accommodation (Continued)  \n☐ HEALTH PARAPROFESSIONAL  \n☐ ELEVATOR PASS  \n☐ N/A  \n☐ N/A  \n☐ New  \n☐ New  \n☐ Renewal  \n☐ Renewal  \nAs applicable, school staff should ensure that the student has access to an elevator if needed and should accompany the student on the elevator wherever possible (students are not issued elevator keys/key cards).  \n☐ EPI-PEN  \n☐ RESTRICTED ACTIVITY  \n☐ SAFETY NET (High School only)  \n☐ TESTING ACCOMMODATIONS  \n☐ TRANSPORTATION  \n☐ N/A  \n☐ N/A  \n☐ N/A  \n☐ N/A  \n☐ N/A  \n☐ New  \n☐ New  \n☐ New  \n☐ New  \n☐ New  \n☐ Renewal  \n☐ Renewal  \n☐ Renewal  \n☐ Renewal  \n☐ Renewal  \n(504 Coordinator: check one of the following as applicable after confirming with school’s Transportation Coordinator. As approved by OPT).  \nThe DOE shall provide the following for the student’s bus ride to and from school each day:  \n☐ not applicable (bus transportation (“busing”) not provided);  \n☐ transportation nurse;  \n☐ transportation paraprofessional;  \n☐ curb-to-school busing with attendant only;  \n☐ stop-to-school busing with no attendant.  \n☐ OTHER – Please describe: ☐ N/A ☐ New ☐ Renewal  \nSchool Responsibilities  \nIndicate staff who will provide ","cbCaidMyeKiukLio","https://ap.wps.com/l/cbCaidMyeKiukLio","pdf",1234028,"English","# Section 504 Accommodation Plan\n## Student & Family Information\n## Emergency Contact Detail\n## 504 Team Information\n## Service & Accommodations\n## School Responsibilities\n## Supporting Documentation","[{\"question\":\"Who completes the Section 504 Accommodation Plan and what inputs are required?\",\"answer\":\"The 504 Coordinator completes the plan with 504 Team input, including parent/guardian, based on relevant documentation such as evaluations, reports, medical records, and school information like referrals, health information, and teacher comments.\"},{\"question\":\"What accommodations and services does the plan authorize and how are they recorded?\",\"answer\":\"The 504 Coordinator enters all authorized services and accommodations, specifies the accommodation details, and marks non-applicable fields as N/A. The template includes checkboxes and descriptions for items like testing accommodations and health or safety supports.\"},{\"question\":\"What approvals, consent, and documentation are included in the template?\",\"answer\":\"The template includes parent/guardian consent language and an approved and received section requiring signatures from the parent/guardian and school administrator/504 Coordinator. It also provides an upload checklist for required documents such as notices, eligibility determination, meeting attendance sheet, and the signed 504 plan.\"}]","Section 504 Accommodation Plan - Fillable Template | PDF",1790119807]