504/LPAC
Section 504
Checklist of procedures to follow to ensure compliance with State Section 504 Laws/Code:
– Notify parents or guardians of proposal to assess student for 504 eligibility (§504).
– Inform parents or guardians of their rights under Section 504. – Obtain parent or guardian permission to assess the student. – Administer measures using only individuals/professionals who
are trained in assessment to evaluate students for suspected disability.
– Ensure eligibility determination is made by a committee that includes persons knowledgeable about the related disability.
– Provide needed instruction and/or accommodations.
Our Mission
Provide a tool to compile data for all students in one application following a process for identification,
organization, and documentation of student interventions.
(SA)2 504 FormsNotice/Consent
•Notice of Section 504 Meeting•Notice of Evaluation•Consent for Evaluation•Notice to Release Confidential Information
Plan Documentation•Section 504/Dyslexia Plan
Supplemental Forms
Section 504 Plan
Dyslexia Plan
Section 504/Dyslexia Plan
P. 1
Type of meeting, Meeting Date
Student Demographic Info
Section I: Review of Data - Evaluation
Section 504 Plan
Dyslexia Plan
Section 504/Dyslexia Plan
P. 2
Section II: Eligibility
Section III: Present levels of performance
(Physical, Behavioral)
Section 504 Plan
Dyslexia Plan
Section 504/Dyslexia Plan
P. 3 – Section III Cont’d: Present levels of performance (Discipline, Transition, Developmental/Language, Assistive Technology, Communication)
Section 504 Plan
Dyslexia Plan
Section 504/Dyslexia Plan
P. 4 – Section IV:
Services/Accommodations
Testing Accommodations
(Current Year, Next Year)
Section 504 Plan
Dyslexia Plan
Section 504/Dyslexia Plan
P. 5 – Section V: Assurances
Section VI :Signatures
Assurances• Accommodation Plan distributed
• Dyslexia Info (tied to p. 2)
Section 504 Plan
Dyslexia Plan
Section 504/Dyslexia Plan
P. 6 –Consent for Initial Placement
Section 504 Plan
Dyslexia Plan
Section 504/Dyslexia Plan
Delib - Deliberations
504 Reports
• Snapshot Planner– Identifies who is currently receiving 504
• Lists eligibility• Lists accommodations
There are equivalent forms
in (SA)2 and SEM.
(SA)2 /SEM Connection
TEA and LPAC
CurrentLPAC Forms
•LPAC Meeting Form (one multi use form)
•Parent Initial/Progress Letter (one multi use letter)
•Home Language Survey
Potential/ FutureLPAC
• Multiple LPAC Meeting Forms - Initial - Review - State Assessment - Exit Review
• Parent Initial Letter• Parent Progress Letter• Mass Entry of Students
• Purpose of Meeting
• Info about Years in US Schools
• Review of Assessment Data
• Evidence of inadequate foundation
• Other School Programs
• LEP Level
• LPAC Recommendations
• Program Placement
• Intervention Plan
• Sufficient Progress by Spring
• State Test Recommendations
• Deliberations/Minutes
Major Bodily Functions 504 Plan p. 2
Mitigating Measures 504 Plan p. 2
LEP Categories LPAC Mtg. Form P. 3
LPAC Placement of Student LPAC Mtg. Form P. 3
LPAC Strategies LPAC Mtg. Form P. 3
Monitoring Plans LPAC Mtg. Form P. 3
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