Revised – July 2014 Catawba County Schools Parent/Guardian Notice of Section 504 Assessment Results Student___________________________________ Grade________ Date____________ School___________________________________________ ___ §504 Initial Referral ____ §504 Annual Review ____ §504 Reevaluation Recently, the 504/Student Success Team met to discuss your child to do one of the following: ____Make the Section 504 disability determination ____Complete the Section 504 annual review ____Complete the 504 reevaluation Based on all of the pertinent data, such as; grades, attendance records, discipline reports, classroom or other assessments and any relevant medical information, it was determined that your child: ____Is eligible or continues to be eligible for Section 504 protection ____Is not eligible or does not continue to be eligible for Section 504 protection If found eligible: ____Is in need of an accommodation plan in order to have educational opportunities equal to his/her non-disabled peers. ____Is NOT in need of an accommodation plan in order to have educational opportunities equal to his/her non-disabled peers. This decision was made in accordance with the guidelines established by the Office of Civil Rights in regard to Section 504 services. If you have any questions please do not hesitate to contact the 504 Coordinator. ___________________________________ at _________________ or ___________________ Name of 504 Coordinator Phone # Email Address