3020 Willow Knolls Rd, Peoria, IL 61614
PARENT/GUARDIAN NOTIFICATION OF SECTION 504 CONFERENCE
Date:
Student’s Legal Name: / Date of Birth:
Dear :
[Legal name of Parent or Guardian]
This letter is to request your attendance at a meeting to review your child’s educational program and/or to meet to consider the existence of a disability based on the definition in Section 504 of the Rehabilitation Act of 1973. You are requested to attend a Section 504 conference at:
[Building, room, and address]
scheduled for / at / .
[Date] / [Time]
The purpose of this meeting is to:
Discuss a referral on your child for possible Section 504 eligibility
Consider your child’s eligibility under Section 504
Review your child’s eligibility under Section 504
Review your child’s recent Section 504 evaluation results and recommendations
Develop a Section 504 Plan for your child
Review and/or revise your child’s Section 504 Plan
Conduct a manifestation determination review
Other (specify):
The invited individuals and their titles are listed below:
Name/Title / Name/Title
We highly encourage you to participate in this meeting. You have the right to bring other individuals at your discretion. Please provide me with the names and titles of the individuals you plan to attend on your behalf prior to the meeting. Please notify me as soon as possible if you require an interpreter or translator, or if you have any questions regarding the meeting. I also wish to remind you of your right to review your child’s school records at any time. You may request a records review by contacting me.
Enclosed with this notice if a copy of your procedural safeguards under Section 504. If you have any questions, or this date and time is not convenient, please contact: , Section 504 Coordinator at .
Sincerely,
Form 103 Parent/Guardian Notification of Section 504 Conference (09/13)