PPS Section 504 Forms & Manuals
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PPS Section 504 Manual
The information in this manual includes the changes resulting from the Americans with Disabilities Ast Amendments of 2008, and reflects the Portland Public Schools' ongoing commitment to educating ALL children in accordance with our Mission and Core Values
Additional Section 504 Forms & Manuals (Multiple Languages Available)
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Medical or Health Assessment Statement
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Prior Notice/Parent Consent to Evaluate
Prior Notice/Parent Consent to Evaluate (GoogleDoc)
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Section 504 Action Form: Continuation, Termination
Section 504 Student Action Plan (GoogleDoc)
Section 504 Student Action Plan (WORD Fillable) -
Section 504 Eligibility Determination Report
Eligibility Determination Report (GoogleDoc)
Eligibility Determination Report (GoogleDoc-Spanish)
Eligibility Determination Report (WORD Fillable)
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Section 504 Manifestation Determination
Manifest Determination (GoogleDoc)
Manifest Determination (GoogleDoc-Spanish)
Manifest Determination (WORD Fillable)
English, Chinese, Russian, Somali, Spanish, Vietnamese
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Section 504 Meeting Notice
Section 504 Meeting Notice (GoogleDoc)
Section 504 Meeting Notice (GoogleDoc-Spanish)
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Section 504 Student Accommodation Plan
504 Accommodation Plan (GoogleDoc)
504 Accommodation Plan (GoogleDoc-Spanish)
504 Accomodation Plan (WORD Fillable)
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Temporary Medical Condition Accommodation Request
Temporary Medication Condition Educational Plan (GoogleDoc)
Temporary Medical Condition Educational Plan (WORD Fillable) -
Other Section 504 Forms
504 Writing/Request Payment Form (Google Form)
Afterschool Accommodation Request (pdf)
Home Instruction Referral (GoogleDoc)
Home Instruction Referral (WORD fillable)
Home Instruction Log (GoogleDoc)
Transportation Request Form (WORD fillable)
Service Animal Request Form (pdf)
Service Animal Agreement Form (pdf fillable)
