Haxtun School District 504 Coordinator: Jessica Hofmeister
504 Referral Form
Step 1: Identification - 3 Criteria
- The student must have a mental or physical impairment
- The mental or physical impairment must be “substantially limiting”.
- The impairment must substantially limit one or more major life activities. If any of the three criteria are missing, do not create a 504 plan for the student.
Even if a student has a disability, he may not need a Section 504 plan. Evaluate not only whether the student has a disability, but also whether he needs related aids, services, or other accommodations to access programs and activities of the District as adequately as his non-disabled peers.
Step 2: Referral
- If the student meets all three criteria, a referral form is created. It can be initiated by parents, school staff, community agencies, medical providers, the student, or other concerned parties.
- 504 Referral is submitted to District’s designated Section 504 Coordinator, which is Jessica Hofmeister email@example.com
Step 3: Determination Regarding Evaluation
- District’s 504 Coordinator in collaboration with appropriate school staff determines whether or not a 504 evaluation will be conducted.
- If it is determined that an evaluation will NOT occur, the 504 Coordinator will notify the student’s guardians as to the reasons why and provide them with a copy of the complete referral form and a copy of the Student and Parent Rights under Section 504.
- If it is determined that an evaluation WILL occur, the 504 Coordinator will work with persons knowledgeable about the student to determine the data to be collected as part of the evaluation.
- After determining the data to be collected, the 504 Coordinator will complete and send the Section 504 Notice of Evaluation and a copy of the Student and Parent Rights under Section 504 to the students’ guardian.
Step 4: The 504 Evaluation
- An evaluation by appropriate school personnel must be completed prior to determining a student’s eligibility under Section 504 and prior to any significant change in placement.
- Evaluations should include information from a variety of sources.
Step 5: Scheduling the 504 Eligibility Meeting
- Within 60 days of referral, the District's 504 Coordinator invites guardians to attend by sending a Notice of Section 504 Meeting which will include invited individuals knowledgeable about the student.
Step 6: 504 Eligibility Meeting/Creation of Section 504 Plan
- The 504 team meets to review the evaluation data collected, and determines whether the student is eligible for a Section 504 accommodation plan. Parents/guardians must be given the opportunity to provide input.
- The team uses the 504 Eligibility Determination Report to document the team’s consideration of the evaluation data and its analysis of the student’s eligibility under Section 504.
- If the student is found eligible for a 504 plan, the team completes the accommodation section (Part C).
- Parents/guardians receive a copy of the finalized Section 504 Eligibility Determination Report and, if requested, a copy of the Student /Parent Rights under Section 504..
Step 7: Implementation of 504
- If the student is found eligible, the team will assign a case manager to oversee the implementation of the student’s Section 504 plan.
- The case manager provides a copy of the student’s 504 (Part C of the Section 504 Eligibility Determination Report) to administrators, teachers, and other staff responsible for implementation.
- Case manager monitors the implementation of the plan, communicates the student's progress to parent/guardian, communicates plan to all necessary staff, and attends any review/reevaluation meetings.
Step 8: Section 504 Plan Review
- The 504 plan is reviewed annually or whenever information is received that indicates a need for review.
- At the review meeting, the 504 team will review the student’s progress and any relevant information provided by parents/guardians and/or school staff.
- The team will complete the Section 504 Review Report and update the plan, as appropriate.
- If the plan is updated, the student’s case manager is responsible for completing and providing a copy of the student’s new accommodation plan to administrators, teachers, and other district staff responsible for implementation.
Step 9: Reevaluation
- Students shall be reevaluated at least every three years, unless the District and parents/guardians agree that a reevaluation is unnecessary. A reevaluation must occur prior to any significant change of placement.
- Following the reevaluation, an eligibility meeting is convened in accordance with Step 5.