IDEA/504 FLOW CHART FREE APPROPRIATE PUBLIC EDUCATION STUDENT NEED CONSIDERATION OF IDEA CONSIDERATION OF 504

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IDEA/504 FLOW CHART STUDENT NEED CONSIDERATION OF IDEA CONSIDERATION OF 504 Disabililty adversely affects educational performance no Disability substantially limits one or more major life activities and adversely affects educational performance yes IDEA eligibility not eligible no 504 Protected yes Education must be reasonably designed to confer benefit not eligible Education must be comparable to that provided to nonhandicapped Specially designed instruction Reasonable accommodations Related services Specialized education related aides & services Individual Education Program (IEP) 504 Plan FREE APPROPRIATE PUBLIC EDUCATION G:\lease6\forms\504\504 Flow Chart - A.doc

504 and IDEA Comparison Chart Component of the Legislation IDEA Section 504 Purpose Is a federal statute whose purpose is to ensure a free and appropriate education services for children with disabilities who fall within one of the specific disability categories as defined by the law. Is a broad civil rights law which protects the rights of individuals with disabilities in any agency, school or institution receiving federal funds to provide persons with disabilities to the greatest extent possible, an opportunity to fully participate with their peers. Who is Protected Covers eligible students ages 3-21 whose disability adversely affects the child's educational performance and/ or ability to benefit from general education. Covers all persons with a disability from discrimination based solely on their disability. Section 504 defines a person with a disability as: Having a physical or mental impairment which limits one or more major life activity; Have a record of such an impairment; or Are regarded as having an impairment. Services Provides individual supplemental educational services and supports in addition to what is provided to students in the general curriculum to ensure that the child has access to and benefits from the general curriculum. This is provided free of charge to the parent. Requires schools to eliminate barriers that would prevent the student from participating fully in the programs and services offered in the general curriculum. Requirements for delivering Services Requires a written Individualized Education Plan (IEP) documentation with specific content addressing the disability directly and specifying educational services to be delivered, mandating transition planning for students 16 and over, as well as a Behavior Intervention Plan (BIP) for any child with a disability that has a behavioral issue. "Appropriate Education" is defined as a program reasonably calculated to provide "educational benefit" to the student. Related services are provided as required for the student to benefit from the educational process and are aligned with specially designed instruction (e.g., counseling, speech, transportation, occupational and physical therapy, etc.) Does not require a written IEP but does require a documented plan. "Appropriate Education" means comparable to the one provided to general education students. Section 504 requires that reasonable accommodation be made for the child with a disability. Requires the school to provide reasonable accommodations, suppo and auxiliary aides to allow the child to participate in t general curriculum. Funding Provides additional funding to states for eligible students Does not provide additional funds. Additionally, IDEA funds may not be used to serve children found eligible under section 504 only. http://www.ncld.org/at-school/your-childs-rights/iep-aamp-504-plan/section-504-and-idea-comparison-chart

STAFF RESPONSIBILITIES District Coordinator of Section 504 coordinates district efforts to comply with Section 504 regulations including training of administrative staff, assures publication of Child Find Notice and distributes copy for posting at all district sites, reviews 504 Evaluation Summary if proposed accommodations require resources beyond the school level, receives and reviews copy of all Section 504 Accommodation Plans, accepts and reviews Section 504 complaints, organizes and conducts investigations, and attempts to resolve any concerns/ complaints. and organizes district response to any complaint filed with the Office of Civil Rights. Principal or Administrative Designee - School Team Chairperson coordinates school efforts to comply with Section 504 regulations, including training of school staff, assures posting of Child Find Notice annually, establishes school 504 Team(s) and serves as chairperson of Team(s), guides 504 referral and evaluation and service delivery process, consults with District 504 Coordinator as needed, forwards copy of each 504 Accommodation Plan to District 504 Coordinator, maintains a master list of those students with 504 Plans, including name, grade, major life activity area impacted, annual review date, and projected reevaluation date, and accepts and reviews school 504 complaints, organizes and conducts investigations, and attempts to resolve any complaints/concerns. Ensures Family Educational Rights and Privacy and Confidentiality Acts Certified/Classified District Staff attend Section 504 training at the school level, complete a Referral for 504 Assistance as needed, serve as 504 Team member when appropriate as determined by school 504 Team chairperson, and implement 504 Accommodation Plan(s) as appropriate. CASE, Student Access/Section 504 2006 Edition, Updated 2012 *A Resource Guide for Educators

SECTION 504 PROCEDURES CHECKLIST (District Forms are identified in bold type) Parent/Guardian is notified of 504 meeting Notice of Conference, Parents Rights in Brief is sent to the parent with this notice. A meeting is held to discuss and determine need for additional evaluation. Review Parents Rights in Brief and have the parents sign the Receipt of Parents Rights in Brief. Section 504 Conference Notes/Summary of the meeting are kept; the parent may have a copy if requested. If it is determined that further evaluation is needed, the parent is asked to give permission by signing at the bottom of the Parent/Guardian Consent for Evaluation. If permission is denied, end the meeting and contact the District 504 Coordinator. When evaluation is completed (within 60 school days), a Notice of Conference is sent to the parent; a meeting is held to discuss the evaluation results and determine 504 eligibility. The Section 504 Eligibility Conference Summary is completed and documents the team decision. Parents Rights in Brief is given and the Receipt of Parents Rights in Brief is signed; Section 504 Conference Notes/Summary of the meeting are kept. If the student is determined to be ineligible for 504 protections, the parent is notified (copy of Section 504 Eligibility Conference Summary). If the student is eligible under Section 504, the Section 504 Plan is developed at the meeting and the Parent/ Guardian Consent for Initial Provision of Section 504 Services and/or Accommodations is signed. Implementation of the Section 504 Plan/Section 504 Accommodation Data begins immediately. The Section 504 Plan is placed in the 504 file, with all other 504 documentation. A copy is kept in the Student Cumulative folder. Copies of Section 504 Eligibility Conference Summary and Section 504 Plan are given to the parent and sent to District 504 Coordinator/ Designee. The Section 504 Plan/Section 504 Accommodation Data is reviewed at least annually; a Notice of Conference is sent to parents. Section 504 Conference Notes/Summary of the meeting are kept. A new 504 Plan is developed and the Section 504 Accommodation Data sheet is put into place, or, following a reevaluation, the Section 504 Conference Notes/Summary indicates that the student is no longer eligible. A copy of Parents Rights in Brief and the Receipt of Parents Rights in Brief is signed and copies of all forms are given to the parent. A reevaluation is conducted at least every three years, or whenever there is a question of continued eligibility or a change in placement Notice of Conference is sent to the parent and a meeting is held. Section 504 Eligibility Conference Summary is completed. A new Section 504 Plan/Section 504 Accommodation Data is developed if appropriate. A copy of those forms and Parents Rights in Brief is given to the parent. Parents sign the Receipt of Parents Rights in Brief. Whenever a student displays a pattern of behavior that interferes with their learning or the learning of others, a 504 Team should review and complete a Section 504 Functional Behavioral Assessment and a Section 504 Behavior Intervention Plan. In reviewing a student s misconduct the 504 Team must determine if the misconduct was caused or had a direct and substantial relationship to the disability by completing the Section 504 Manifestation Determination. CASE Student Access/Section 504 2006 Edition Updated 2012

Initial Evaluation Form A Notice of Conference Form B Parent/Guardian Consent for Evaluation Form C Parents Rights in Brief Form D Receipt of Parents Rights in Brief 504 Form List Initial 504 Eligibility Form A Notice of Conference Form E Section 504 Eligibility Conference Summary Form F Section 504 Plan Form G Section 504 Conference Notes/Summary Form H Parent/Guardian Consent for Initial Provision of Section 504 Services and/or Accommodations Form I Section 504 Accommodation Data Form K Section 504 Functional Behavioral Assessment (if appropriate) Form L Section 504 Behavior Intervention Plan (if appropriate) Periodic Re-evaluation of 504 (at least every 3 years) Form A Notice of Conference Form B Parent/Guardian Consent for Evaluation Form C Parents Rights in Brief Form D Receipt of Parents Rights in Brief Form F Section 504 Plan Form G Section 504 Conference Notes/Summary Form I Section 504 Accommodation Data Form K Section 504 Functional Behavior Assessment (if appropriate) Form L Section 504 Behavior Intervention Plan (Review if appropriate) Annual 504 Review Form A Notice of Conference Form C Parents Rights in Brief Form D Receipt of Parents Rights in Brief Form F Section 504 Plan Form G Section 504 Conference Notes/Summary Form I Section 504 Accommodation Data Form L Section 504 Behavior Intervention Plan (if appropriate) Manifestation Determination Form A Notice of Conference Form C Parents Rights in Brief Form D Receipt of Parents Rights in Brief Form F Section 504 Plan* Form G Section 504 Conference Notes/Summary* Form I Section 504 Accommodation Data* Form J Manifestation Determination for Section 504 Students Form K Section 504 Functional Behavior Assessment* Form L Section 504 Behavior Intervention Plan* *Review current forms and re-develop if necessary

(INSERT SCHOOL DISTRICT NAME) NOTICE OF CONFERENCE To: Date: Re: (Student Name) Date of Conference: Time: Location of Meeting: Purpose of Conference: To consider possible eligibility for and/or provision of services and/or accommodations under Section 504 of the Rehabilitation Act of 1973. To review eligibility for and/or services and/or accommodations being provided under Section 504 of the Rehabilitation Act of 1973. Other: Conference Participants (Title and Name): You have the right to bring other individuals, at your discretion, to this conference. Please notify your student s Building Administrator/504 Designee if you are in need of an interpreter or translator. Enclosure: Parents Rights in Brief Sincerely, Building Administrator/504 Designee Contact Information Form A 10/11

(INSERT SCHOOL DISTRICT NAME) PARENT/GUARDIAN CONSENT FOR EVALUATION Student Date of Birth Name of Parent/Guardian Section 504 of the Rehabilitation Act of 1973 prohibits discrimination on the basis of disability in any program or activity receiving Federal financial assistance. Students who are covered by 504 are those who: 1)have a physical or mental impairment, which substantially limits one or more major life activities and results in a need for reasonable accommodations and/or special education and related services, 2) have a record of such impairment or 3) are regarded as having such impairment. Step One: Explanation and Purpose of an Evaluation Each school district shall ensure that a full and individual evaluation is conducted for each child being considered or reconsidered for 504 services and related services. The purposes of an evaluation may be to determine: Whether the child has, or continues to have, a mental or physical impairment; Whether the mental or physical impairment substantially limits a major life activity; Whether the child needs, or continues to need, reasonable accommodations and/or special education and related services; The present levels of performance and educational needs of the child; and/or Whether any additions or modifications to the child s 504 Student Plan are needed. Step Two: Check the Major Life Activity that May Be Affected: seeing hearing caring for one s self breathing eating sleeping lifting walking learning performing manual tasks working reading standing bending speaking concentrating thinking communicating the operation of a major bodily function other (specify) Step Three: Sources of Evaluation Information (to be reviewed) medical reports/health information teacher/psychologist observation adaptive behavior scales/behavior scales discipline/attendance records achievement tests student progress reports/grades cognitive assessments functional behavior assessment language surveys/assessments other (specify) parent input motor assessments Step Four: Parental Agreement I understand my rights as explained to me and contained in the Parents Rights in Brief which I have received and reviewed. In addition, I understand the nature and scope of the evaluation to be completed. Upon completion of my child s evaluation, a conference will be scheduled to discuss the findings and determine my child s eligibility for 504 services and related service. I consent I do not consent to an evaluation of my child Signature of Parent/Guardian Date Form B 10/11

PARENTS RIGHTS IN BRIEF Section 504 of the Rehabilitation Act of 1973 It is the policy of the Board of Education to provide a free and appropriate public education to each student with a disability. It is the intent of the District to ensure that students who are eligible for services and/or accommodations within the definition of Section 504 of the Rehabilitation Act of 1973 are identified, evaluated, and provided with appropriate educational services and/or accommodations. Parents (or, if age 18 or older, students) have the following rights under Section 504: 1. Right for your child to take part in and receive benefits from the District and its programs and activities, including nonacademic and extracurricular programs and activities, without discrimination on the basis of his/her disability; 2. Right to be informed, in your native language, of any proposed actions related to identification, evaluation, or educational placement of your child; 3. Right to examine all relevant records of your child; 4. Right to have an evaluation of your child that draws on information from a variety of sources in order to determine his/her eligibility for Section 504 services and/or accommodations; 5. Right to have periodic reevaluations of your child, including reevaluation before any significant change in your child s placement; 6. Right for your child to receive appropriate educational services and/or accommodations in the least restrictive environment that is appropriate for the child if he/she is found eligible under Section 504; 7. Right to a manifestation determination review before any disciplinary removal of your child that constitutes a significant change in placement, in order to determine if your child s misconduct was related to his/her disability; 8. Right to file a grievance under the District s Uniform Grievance Procedure for any claim of discrimination on the basis of disability and to appeal the grievance decision; 9. Right to request an impartial due process hearing under the District s Section 504 Procedures And Procedural Safeguards for any claim about the identification, evaluation, or educational placement of your child, to participate in and be represented by legal counsel at the hearing, and to appeal the hearing decision; and 10. Right to forego or terminate the District s grievance process and/or due process hearing procedures described above and file a complaint with the U.S. Department of Education s Office for Civil Rights ( OCR ). Note: Copies of the District s Uniform Grievance Procedure and the District s Section 504 Procedures And Procedural Safeguards, as well as contact information for OCR, are available at [insert location(s) in District where copies may be obtained]. Building Administrator/Designee Form C 10/11

(INSERT SCHOOL DISTRICT NAME) Dear, Section 504 of the Rehabilitation Act requires that school districts document that parents have been provided and understand the Parent/Student rights in Identification, Evaluation and Placement pursuant to Section 504 of the Rehabilitation Act. The attached Parents Rights in Brief is designed to provide a brief explanation of the important information regarding the safeguards to which parents/guardians and children are entitled. A complete copy of the District s Section 504 Procedures and Procedural Safeguards is available at [insert location(s) in District where copies may be obtained]. Please sign and date below that you are in receipt of your Parents Rights in Brief. Parent/Guardian Signature Date Form D 10/11

(INSERT SCHOOL DISTRICT NAME) SECTION 504 ELIGIBILITY CONFERENCE SUMMARY Student: Date: Grade: Purpose of Conference: To consider possible eligibility for and/or provision of services and/or accommodations under Section 504 of the Rehabilitation Act of 1973. To review eligibility for and/or service and/or accommodations being provided under Section 504 of the Rehabilitation Act of 1973. Other: 1. Sources of Data: medical reports/health information adaptive behavior scales/behavior scales achievement tests cognitive assessments language surveys/assessments parent input motor assessments teacher/psychologist observation discipline/attendance records student progress reports/grades functional behavior assessment other (specify) A. Is there documented evidence of a physical and/or mental impairment? Yes No (if no, a 504 plan is not required) B. Is a major life activity substantially limited by the physical or mental impairment? Yes No (if no, a 504 plan is not required) If yes, please check the major life activity(s) that is/are substantially limited. caring for one s self hearing learning walking breathing seeing performing manual tasks working standing eating sleeping lifting communicating bending thinking concentrating speaking reading the operation of a major bodily function Form E 03/11

2. Summary of discussion/recommendations (attach additional pages as necessary): Conference Participants: Form E 03/11

(INSERT SCHOOL DISTRICT NAME) SECTION 504 PLAN Name: Date of Birth: Date of Meeting: Grade: 1. State the student s mental and/or physical impairment(s): 2. Describe how the mental or physical impairment substantially limits a major life activity: 3. Describe the services, accommodations, and/or other supports that are necessary, including their frequency, location, and duration), who will provide them, and in what educational setting(s)/classes (attach additional pages if necessary): 4. State- and District-Wide Assessments (specify needed accommodations, if any): Form F 10/11

5. Additional Comments: 6. Review/Reassessment Date: 7. Person responsible for overseeing and monitoring the plan: Conference Participants: Form F 10/11

SECTION 504 CONFERENCE NOTES/SUMMARY Student s Name Date Participants/Titles: Notes/Summary: Form G 10/11

PARENT/GUARDIAN CONSENT FOR INITIAL PROVISION OF SECTION 504 SERVICES AND/OR ACCOMMODATIONS Date: Student s Name: Student s Date of Birth: Dear (Parent(s)/Guardian(s) Name) At a recent conference your child was recommended for the initial provision of Section 504 services and/or accommodations and a Section 504 plan was developed. Before a school district may provide the services and/or accommodations described in your child s Section 504 plan, your informed written consent is required. Your consent is voluntary and you may revoke your consent at any time. If you revoke consent, it does not negate any action that occurred after the consent was given and before it was revoked. Check One: I give consent For the initial provision of the services and/or accommodations as indicated on my child s Section 504 plan. The proposed services and/or accommodations have been fully explained to me and are consistent with the Section 504 plan developed for my child. I understand that my consent is voluntary. I understand that my consent is not required for continued Section 504 services and/or accommodationsor or for a change in the services and/or accommodations. At least annually, I will be given reasonable opportunity for comment on and input into my child s Section 504 plan. I received a copy of the Parents Rights Brief which have been fully explained to me by school personnel, including the procedures for requesting an impartial hearing. I understand that as soon as possible following development of the Section 504 plan, but not more than ten (10) calendar days, aids and services will be provided to my child in accordance with his/her Section 504 plan. I do not give consent For services and/or accommodations included in the Section 504 plan. I understand that the school district will not be in violation of its obligation to make available a free appropriate public education for my child if I refuse to give consent. I have received Copy of the Section 504 Eligibility Summary Copy of the Section 504 Plan Other Date: Parent/Guardian Signature: If you have any questions concerning this process or require additional information regarding your and your child s rights, please contact: Name: Title: Phone: Sincerely, (Signature) Name: Title: Form H 10/11

SECTION 504 ACCOMMODATION DATA Student Name: Teacher Name: School Year: Quarter: Course: Listed below are the classroom accommodations on the 504 plan for the student identified above. Please complete this checklist weekly to document use of the listed accommodations in your classroom. Please provide additional notes when more information is necessary. Form should be returned to: Date Accommodation: Reason Not Provided Outcome Additional Information: Form I 10/11

(INSERT SCHOOL DISTRICT NAME) MANIFESTATION DETERMINATION FOR SECTION 504 STUDENTS A. Identifying information: Student s Name: Date of Meeting: Date of Birth: B. Conference Participants: C. Team review and determination: 1. What is the misconduct for which disciplinary action has been taken or is being considered? 2. The team has considered and reviewed the following relevant student information in terms of the misconduct subject to disciplinary action: Evaluation, diagnostic results or other relevant information, including the students most recent Section 504 evaluation and plan YES NO Is there a behavior intervention plan as part of the student s 504 plan? YES NO 3. In determining if the misconduct was a manifestation of his/her disability, the Section 504 team must determine the following: (a) (b) If the misconduct in question was caused by, or had a direct and substantial relationship to, the child s disability; YES NO or If the misconduct in question was the direct result of the District s failure to implement the Section 504 Plan YES NO Form J 10/11

4. If the team determines the misconduct was not a manifestation of the child s disability, then the District s regular disciplinary procedures will apply. 5. If the team determines that the misconduct was a manifestation of the child s disability: (a) (b) (c) The team must conduct a Functional Behavioral Assessment and implement a behavior intervention plan (BIP) if this has not already been done prior to the current misconduct; If a BIP has already been developed, review and modify it, as necessary, to address the misconduct in question; and The team must review the student s current 504 plan and educational placement to determine if it remains appropriate. If the team believes that a significant change in placement may be necessary, the team must initiate a reevaluation of the student. MEETING NOTES: Form J 10/11

SECTON 504 FUNCTIONAL BEHAVIORAL ASSESSMENT Student Grade Date Participants/Titles Describe the behavior of concern What strategies have you tried to address the behavior? Describe the triggers of the student s behavior How long and/or how often has this behavior been occurring? Does the behavior occur only during certain subjects or settings, and/or times; identify: What are the consequences when the behavior occurs? Hypothesis of the behavior: Form K

(INSERT SCHOOL DISTRICT NAME) SECTION 504 BEHAVIOR INTERVENTION PLAN A functional assessment of behavior must be completed and attached prior to developing a Behavior Intervention Plan Complete when the Section 504 team has determined a Behavior Intervention Plan is needed. Student: Grade: Date: Target Behavior(s): Intervention(s) to be Implemented: Procedure/schedule for evaluating effectiveness and person responsible: Form L 10/11