The below are forms intended for districts to utilize as examples.  It is recommended that you take these samples and utilize them to create
​forms specific to your needs and school district.  
Example documents found below have been provided by Lincoln Public Schools, Cedar Rapids Public Schools, Heartland Area AEA, the Diabetes Foundation and Optimal Hearing.  

Sample Notices and Consent forms

Notice of Section 504 Meetings

Parent Rights
The below sample documents - Notice of section 504 meeting are designed to inform parents and others involved in the 504 meeting when and where it will occur. 
Notice of 504 Meeting
File Size: 57 kb
File Type: docx
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504 Notice of Conference
File Size: 335 kb
File Type: pdf
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Notice and Consent for Evaluation 

The below sample documents - Parent release of Information are designed to give schools permission from parents to contact outside agencies.
Parent Release of Information
File Size: 106 kb
File Type: pdf
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Parent Release of Information
File Size: 62 kb
File Type: docx
Download File
The below sample document - Notice Parents Received Rights is designed to inform parents of the rights afforded to them by section 504, a provide documentation that the school district provided them a copy of their rights.  This document, or a document like it should be given to parents at each meeting.  
Notice Parent Rights Provided
File Size: 1094 kb
File Type: pdf
Download File
Parent Rights Sample
File Size: 49 kb
File Type: docx
Download File
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