Tucson Unified School District
SECTION 504 PLACEMENT CHECKLIST
Student Name: Click here to enter text.Student #: Click here to enter text.
School: Click here to enter text. Grade: Click here to enter text.
1.
The 504 Coordinator receives Section 504 Referral
Date: Click here to enter a date.
2.
The Principal/504 Coordinator is required to obtain parent
consent (See Parent Consent: Section 504Evaluation) and
provide Parent’s Rights and Safeguards Under Section 504 to
parent/guardian.
Date: Click here to enter a date.
3.
The Principal/504 Coordinator sends Parents Invitation:
Section 504 Meeting to Parents/guardian.
Date: Click here to enter a date.
4.
The Principal/504 Coordinator identifies members of 504
Team. The 504 Team evaluates the child’s reported
impairment and completes the Section 504 Eligibility
Determination Report.
Date: Click here to enter a date.
5.
The Principal/504 Coordinator updates Mojave to indicate 504
eligibility. (Non-eligibility requires no indication in the
system.)
Date: Click here to enter a date.
6.
The Principal/504 Coordinator provides Parent notice: Section
504 Eligibility or Non-Eligibility and Parent’s Rights and
Procedural Safeguards Under Section 504 to parent/guardian.
Date: Click here to enter a date.
7.
If a Section 504 Accommodation Plan is developed, the
Principal/504 Coordinator is responsible for ensuring that all
members of the 504 Team receive a copy and the student’s
teachers are monitoring the implementation of the Plan.
Date: Click here to enter a date.
8.
The Principal/504 Coordinator schedules a review or reevaluation of the student if a request for review or reevaluation is received or if new information is received that
indicates a need for review or re-evaluation.
Date: Click here to enter a date.
The Principal/504 Coordinator ensures that the Section 504 Student
Accommodation Plan is sent to the new location if the student
changes schools. This should also happen when students attend
extended school year targeted interventions (summer school)
programs and when assessments are to take place.
Date: Click here to enter text.
9.
5041000
Revised: 01/14/15
Tucson Unified School District
1010 E. 10th St., Tucson, AZ 85719 | Phone (520) 225-6000
http://www.tusd1.org/