[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-175520-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-175520-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","section-504-eligibility-and-accommodation-plan-form","SECTION 504 ELIGIBILITY AND ACCOMMODATION PLAN - Form","","Section 504 eligibility and accommodation plan form for the David Douglas School District’s Student Services Department. Collects student identifiers and disability documentation details, including whether a physical or mental impairment exists and whether it substantially limits major life activities. Includes prompts for disability documentation, medical notice dates, and attached reports. 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It also requests medical notice information and lists to attach relevant medical reports, evaluations, and test results.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the form address mitigating circumstances for eligibility?",{"text":68,"@type":64},"For the Disability Documentation questions, it instructs not to consider mitigating circumstances when answering. For determining whether a plan is needed under accommodations, it notes that mitigating circumstances may be considered.",{"name":70,"@type":61,"acceptedAnswer":71},"What is required to initiate and maintain an accommodation plan?",{"text":72,"@type":64},"The form indicates that parent agreement is required for the initial 504 plan. It also states that significant changes should be written on a new form and attached to the originals, and the plan includes periodic review.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},175520,1788320549,{"code":4,"msg":82,"data":83},"success",[84,88,93,98,103,108,112,117,122],{"id":55,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":80,"read_time":22},137441390410,"https://ap-avatar.wpscdn.com/avatar/2000252f4ab5702993?_k=1776741390130283984","DAVID DOUGLAS SCHOOL DISTRICT\nStudent Services Department\nDate: _______________\t\t\t\u0013 FORMTEXT \u0014\u0015Date of Initiation of Plan: _______________\n\u0013 FORMTEXT \u0014\u0015\nSECTION 504 ELIGIBILITY AND ACCOMMODATION PLAN\n\u0013 FORMTEXT \u0014\u0015\nStudent: _________________ Building: ______________ \u0013 FORMTEXT \u0014\u0015DOB: __________ \u0013 FORMTEXT \u0014\u0015Grade: __________\n\u0013 FORMTEXT \u0014\u0015\nDisability Documentation:\nNOTE: Do not consider mitigating circumstances in answering these questions.\n1. The student has or is believed to have a physical or mental impairment. Yes \u0013 FORMCHECKBOX \u0014\u0015 No \u0013 FORMCHECKBOX \u0014\u0015\u0013 FORMTEXT \u0014\u0015\nIf yes, what is it?\n_____________________________________________________________________________\n• A written medical notice documenting the physical or mental impairment is provided by the appropriate medical or health care professional. Yes \u0013 FORMCHECKBOX \u0014\u0015\u0013 FORMTEXT \u0014\u0015 No \u0013 FORMCHECKBOX \u0014\u0015\nIf yes, date of notice?\n_____________________________________________________________________________\nList and attach all medical reports, evaluations, test results, or other pertinent information:\n______________________________________________________________________________\n______________________________________________________________________________\n______________________________________________________________________________\u0013 FORMTEXT \u0014\u0015\n2. The impairment substantially limits one or more of the student’s major life activities (without regard to mitigating measures, except for eyeglasses or contact lenses).\nYes \u0013 FORMCHECKBOX \u0014\u0015 No \u0013 FORMCHECKBOX \u0014\u0015\nIf yes, what is the basic life activity (or activities) affected?\n______________________________________________________________________________\u0013 FORMTEXT \u0014\u0015\nHow is it “substantial?” \u0013 FORMTEXT \u0014\u0015\n______________________________________________________________________________\n______________________________________________________________________________\n______________________________________________________________________________\n\u000fAccommodation Plan:\nNote: May consider mitigating circumstances in determining whether a plan is needed.\nDoes the student need accommodations to access the benefits of public education as adequately as the needs of nondisabled students are met?\nYes \u0013 FORMCHECKBOX \u0014\u0015 No \u0013 FORMCHECKBOX \u0014\u0015\nIf yes, list below:\nPeriodic Review: Parent agreement required for initial 504 plan\n(Significant changes should be written on a new form and attached to the originals).","cbCaik8YzYSdVbFC","https://ap.wps.com/l/cbCaik8YzYSdVbFC","docx",19020,"English","# SECTION 504 ELIGIBILITY AND ACCOMMODATION PLAN\n## Disability Documentation\n## Accommodation Plan","[{\"question\":\"What information must be provided in the Disability Documentation section?\",\"answer\":\"The form asks whether the student has or is believed to have a physical or mental impairment, whether it substantially limits major life activities, and details such as what the impairment is and what activities are affected. It also requests medical notice information and lists to attach relevant medical reports, evaluations, and test results.\"},{\"question\":\"How does the form address mitigating circumstances for eligibility?\",\"answer\":\"For the Disability Documentation questions, it instructs not to consider mitigating circumstances when answering. For determining whether a plan is needed under accommodations, it notes that mitigating circumstances may be considered.\"},{\"question\":\"What is required to initiate and maintain an accommodation plan?\",\"answer\":\"The form indicates that parent agreement is required for the initial 504 plan. It also states that significant changes should be written on a new form and attached to the originals, and the plan includes periodic review.\"}]","SECTION 504 ELIGIBILITY AND ACCOMMODATION PLAN - Form | DOCX"]