FORM B - Notice of Proposed Section 504 Meeting

This notice is to invite you to a meeting for: *

School *

Meeting Date * +

Meeting Time *

Meeting Location *

To *

Email Address of Parent/Guardian *

Date Notice Sent * +

The purpose of this meeting is to: *

Determine if the referral requires evaluation

Discuss the need for additional data collection

Determine initial or continued eligibility

Develop or review a Section 504 Plan

Conduct a Manifestation Determination Review

Other Other

The following people will be invited to the meeting: *

Please bring any and all information you want to be considered by the team, as well as:

Section 504 Coordinator or Designee *

Section 504 Coordinator Email Address *

Section 504 Coordinator or Designee Signature *

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