504 Request Letter Template
A collaboration ofCenter for Arkansas Legal Services and Legal Aid of Arkansas, Inc.
1-800-9-LAW-AID (1-800-952-9243) | |
[DATE]
ATTN: Principal[LAST NAME]
[SCHOOL]
[ADDRESS]
[CITY], Arkansas [ZIP]
[PHONE]
[FAX]
Re: Evaluation for Services under Section 504
Dear Principal[LAST NAME],
I am requesting a meeting be scheduled to discuss [CHILD'S NAME]’s (born [DATE OF BIRTH]) eligibility for accommodations under Section 504 of the Rehabilitation Act of 1973. The school must provide accommodations and devise appropriate programs for children with disabilities, even if not eligible for special education services under Individuals with Disabilities Education Act (IDEA). [CHILD'S NAME] is a [#]st/nd/th grade student.
[CHILD'S NAME] is eligible for a 504 plan due to his/her documented [INSERT: medical diagnosis], for which he/she is currently receiving treatment at [INSERT: name of doctor's office]. Because of [CHILD'S NAME]’s [INSERT: medical diagnosis], [INSERT: information about how the medical diagnosis substantially limits a major life activity]. [*If you have a 504 recommendation letter from the doctor, INSERT: "I have enclosed the 504 Referral from her doctor."]
Thank you for your attention to this matter. I look forward to hearing from you regarding potential dates for the Section 504 meeting. Please do not hesitate to contact me at [PHONE].
Respectfully,
[NAME]
[ADDRESS]
A collaboration ofCenter for Arkansas Legal Services and Legal Aid of Arkansas, Inc.
1-800-9-LAW-AID (1-800-952-9243) | |
This fact sheet is a collaboration of the Center for Arkansas Legal Services and Legal Aid of Arkansas, Inc. These nonprofit organizations provide free legal assistance to eligible Arkansans who meet income, asset, and other guidelines. Legal assistance may also include advice and counsel, brief services, or full representation depending on the situation. For more information about civil legal aid in Arkansas, please visit arlegalservices.org. For information specific to Legal Aid of Arkansas, Inc., visitarlegalaid.org. Apply for services online or by calling 1-800-9-LAW-AID (1-800-952-9243).
The information and statements of law in this fact sheet should not be considered legal advice. This fact sheet is provided as a broad guide to help you understand how certain legal matters are handled in general. Courts may interpret the law differently. Before you take action, talk to an attorney and follow his or her advice. Always do what the court tells you to do.
Content provided by:
Legal Aid of Arkansas, Inc.
Updated February 2017
A collaboration ofCenter for Arkansas Legal Services and Legal Aid of Arkansas, Inc.
1-800-9-LAW-AID (1-800-952-9243) | |