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    Section 504 b9 Edition, Copyright CASE, Inc. APPENDIX M Page 1 of 2 Section 504 ACCOMMODATION Plan. Describe how the identified disability substantially limits a major life activity: Accommodation / Action to Be Taken Participation in KlRlS assessment: Person(s) Responsible page 2 attached Ll 0 no modifications 0 modifications as defined in accommodations.

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    Section 504 b9 Edition, Copyright CASE, Inc. APPENDIX M Page 1 of 2 Section 504 ACCOMMODATION Plan. Describe how the identified disability substantially limits a major life activity: Accommodation / Action to Be Taken Participation in KlRlS assessment: Person(s) Responsible page 2 attached Ll 0 no modifications 0 modifications as defined in accommodations.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    51 views1 page

    504 20sheet-1

    Uploaded by

    api-282838637
    Section 504 b9 Edition, Copyright CASE, Inc. APPENDIX M Page 1 of 2 Section 504 ACCOMMODATION Plan. Describe how the identified disability substantially limits a major life activity: Accommodation / Action to Be Taken Participation in KlRlS assessment: Person(s) Responsible page 2 attached Ll 0 no modifications 0 modifications as defined in accommodations.

    Copyright:

    © All Rights Reserved
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    of 1

    SE, Student Access/Section 504

    b9 Edition, Copyright CASE, Inc.

    APPENDIX M
    Page 1 of 2

    SECTION 504 ACCOMMODATION PLAN


    Student Name
    School

    Birt hdate
    Initial Referral Date

    Grade
    Reevaluation Due

    Annual Review Date

    Beginning Date of this Plan

    Describe how the identified disability substantially limits a major life activity:

    Accommodation/Action to Be Taken

    Participation in KlRlS assessment:

    Person(s) Responsible

    page 2 attached Ll
    0 no modifications
    0 modifications as defined in accommodations

    Team Sianature~

    Position
    School 504 Team Chairperson

    Teacher

    cc:

    Student's Cumulative Folder


    District 504 Coordinator
    Parent

    Date

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