Revised - July 2014
Catawba County Schools
SECTION 504 CHECKLIST FOR SST CHAIRPERSON/504 COORDINATOR
(In-House Request)
STUDENT: _______________________________________
SCHOOL: ________________________________________
___ Request received: Date___________
And includes:
___ “Request for Section 504 Disability Determination” form
___ “Request for Section 504 Teacher Narrative”form
___ “Parent Conference/Contact Record”form
___ “Documentation of Interventions” form (if concern is specific to learning)
___ Send to parent, “Prior Notice and Parental/Guardian Consent for Consideration”,
and “Notice of Section 504 Parental Rights”. Date sent ___________
(put a copy of “Prior Notice/Parental Consent” in student’s SST folder)
___ Signed Consent Received: Date ___________
___ Schedule a meeting to discuss §504 eligibility.
___ Send to parent, “Notice of Meeting for Consideration for Section 504 Disability Determination” form.
(If email is the preferred method of contact with a parent, the email MUST include an
invitation to the meeting as well as notice of the meeting. Specific wording of this email
notification is in the “forms” section of the 504 manual)
Date sent:___________
___ Put a copy of the “Notice of Meeting for Consideration for Section 504 Disability Determination” or a
copy of the email, if it is the preferred method of contact, in the student’s SST folder.
___ Student is presented at SST meeting: Date ___________
___ Use the “Section 504 Disability Determination” form to determine eligibility.
If it is determined that the student IS DISABLED and therefore eligible for Section 504 protection, the
504/SST Team will do the following:
___ Determine if accommodations would be required in order for the student to have educational access
equal to that of his/her non-disabled peers
IF YES, the child DOES need an accommodation plan, the team will:
____ Develop the Accommodation Plan using the “Section 504 Equal Education
Opportunity/Accommodation Plan” form.
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The Chairperson will:
___ Send the following to the parent (or if parent is present, make copies and give to parent) :
Date sent:____________
___ “Parent/Guardian Notice of Section 504 Assessment Results” form. (n/a if parent is present)
___ A copy of the “Section 504 Disability Determination” form.
___ A copy of the “Section 504 Equal Education Opportunity/Accommodation Plan”
___ Give each teacher a copy of the “Section 504 Equal Education Opportunity/Accommodation Plan”
form.
___ Have each teacher sign the “Section 504 Plan Acknowledgement” form.
___ Put originals of all forms in student’s SST folder.
___ “Notice of Section 504 Protection” is placed in the student’s cumulative folder.
___ Copy of “Section 504 Equal Education Opportunity/Accommodation Plan” sent to System 504
Coordinator.
Date sent: ___________
IF NO, the child does NOT need an accommodation plan, the chairperson will:
___ Send the following to the parent (or if parent is present, make copies and give to parent) :
Date sent:____________
___ “Parent/Guardian Notice of Section 504 Assessment Results” form. (n/a if parent is present)
___ A copy of the “Section 504 Disability Determination” form.
___ Put originals of all forms in student’s SST folder.
___ “Notice of Section 504 Protection” is placed in the student’s cumulative folder.
If it is determined that the student IS NOT DISABLED and therefore not eligible for Section 504
protection, the 504/SST Chairperson will do the following:
___ Send the following to the parent:
Date sent:_____________
___ “Parent/Guardian Notice of Section 504 Assessment Results” form. (n/a if parent is present)
___ A copy of the “Section 504 Disability Determination” form.
___ Put originals of all forms in student’s SST folder.
If student is not eligible and the referral was specific to learning:
___ SST should continue to monitor by staying in touch with teachers to assess the effectiveness of
the interventions, plan further interventions or make appropriate referrals.
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