2260.01A F9a/page 1 of 2
PARENT INVITATION TO SECTION 504 MEETING
Dear Parent(s)/Guardian(s):
This letter is to invite you to a Section 504 Meeting to consider or review your child’s eligibility
for services under Section 504 of the Rehabilitation Act of 1973, and/or of the need to review
your child’s 504 Plan. We are planning a meeting as follows:
Student’s Name: _________________________________ Date of Birth:___________________
School: ___________________________________________________________________________
Meeting Location: _________________________ Meeting Date/Time:____________________
The purpose of this meeting will be:
___ to review and discuss your child’s present educational status/504 Plan.
___ to discuss a referral on your child for possible Section 504 eligibility.
___ to discuss the possible need to evaluate/reevaluate your child.
___ to discuss evaluation results and make a determination regarding 504 eligibility
___ to discuss educational/instructional options for your child.
___ to discuss at your request: ______________________________________________
___ other: ______________________________________________________________
The following persons have been invited to attend this meeting:
1. _______________________________ ___________________________
(Name) (Title)
2. _______________________________ ___________________________
(Name) (Title)
3. _______________________________ ___________________________
(Name) (Title)
4. _______________________________ ___________________________
(Name) (Title)
2260.01A F9a/page 2 of 2
Enclosed please find a copy of your rights under Section 504. Please complete the reply form below
and return it to the Building 504 Coordinator by: ___________________.
(date)
Should you have any questions or concerns, please do not hesitate to contact me.
Sincerely,
________________________________ _____________ _____________________
(Building 504 Coordinator) (Date) (Telephone No.)
-----------------------------------------------------------------------------------------------------------------------------------------
Student’s Name: _____________________________________ Date of Birth:___________________
School: ___________________________________________________________________________
Meeting Location: ______________________________ Meeting Date/Time:_____________
_____ I/we will attend the Section 504 meeting and I/we acknowledge receipt of the
parent(s)/guardian(s) rights.
_____ I/we will not attend the Section 504 meeting. I/we acknowledge receipt of the
parent(s)/guardian(s) rights.
_____ Please send a copy of the appropriate records after the meeting.
_____ The student will attend the Section 504 meeting.
_____ I/we need an Interpreter for the meeting.
You are welcome to bring any information, including formal or informal test results, work samples,
medical records, etc., to the meeting. Please write the names of additional persons you would like to
attend the meeting or any additional persons you would like to bring to the meeting.
1. _______________________________ 2. ________________________________
________________________________________ _______________________
Parent Signature Date
5/12
10/12
