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Section 504 Accommodation Plan Request

Federal & State Law Editorial TeamLast reviewed: April 2026

Request for accommodations under Section 504 of the Rehabilitation Act for a student with a disability that substantially limits a major life activity.

PDF TemplateUse the instructions below to complete this form

Instructions

Submit a written request to the school's 504 coordinator. Describe the student's disability and how it affects their ability to learn. Provide supporting medical documentation. The school must convene a 504 team to determine eligibility and develop an accommodation plan. Unlike an IEP, a 504 plan does not require specialized instruction but provides accommodations such as extended time, preferential seating, or modified assignments.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.