Section 504 Exit Notification (School Forms) printable pdf download

Section 504 Exit Notification (School Forms)

ORLEANS PARISH SCHOOL BOARD

SECTION 504 EXIT NOTIFICATION

Date:_________________________

Student ____________________________

DOB ________________

Grade ______

Dear__________________________

School _____________________________

This letter is to inform you that on the basis of established guidelines regarding Section 504, we

are exiting your child from Section 504 services.

This decision was made by the Student Assistance Team/Section 504 committee on

_____________________________________ (exit date).

You child is being exited because:

____(01) a reevaluation was conducted and your child no longer qualifies under Section 504

guidelines.

____(02) parent/guardian refused services.

____(03) qualifies for Special Education services under IDEA and your child’s accommodations

are now being met through an Individualized Educational Plan (IEP).

____(99) other:_______________________________________________________________

____________________________________________________________________________

If you disagree with this decision, enclosed is a copy of the Section 504 Notice of Parent Rights

and Grievance Procedure.

If you have any questions, please do not hesitate to call.

Sincerely,

____________________________________

Principal’s signature

____________________________________

Section 504 Chairperson’s signature

____________________________________

Parent’s signature

Form 7

Copies to Parent & Section 504 District Office & original in Student Folder

Attachment: Notice of Parent Rights & Grievance Procedure Section 504

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Section 504 Exit Notification (School Forms)