Sample Letter
Date
School Principal or ABIT Chair
School
Address
City, State, Zip Code
Re: 504 Plan
Dear __________________,
I am the parent of _______________________ who is a student at your school.
I am writing you to inform you of health concerns for my child which I believe would qualify him
for a 504 Plan under Section 504 of the Rehabilitation Act.
Enclosed is a copy of a letter from my child’s doctor explaining the health concerns. I’ve also
enclosed a “Dear Colleague Letter” from the Office of Civil Rights, dated January 19, 2012
clarifying that any impairment that is episodic, as in allergies, is a disability if it would
substantially limit a major life activity when active. You will note in the doctor letter, this is indeed
the case of my child.
Thank you for everything you do for the school and keeping all children safe. I look forward to
hearing from you within 1 week to schedule a meeting. You can either call me at ____________
or email me at ______________.
Sincerely,
Your Name
Enclosed: Letter from Dr. ___________________
OCR Letter dated January 19, 2014