Section 504 Grievance Form
When parents disagree with the decisions of the Section 504 Team, they have the right to file a written grievance with the Prince George's County Public Schools' Section 504 Coordinator. Filing a grievance is the first step in the appeal/complaint process. Upon receipt of the grievance, the Section 504 Coordinator will contact the parent and schedule a meeting.
Email address *
Student Name
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Student's Date of Birth
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DD
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YYYY
School
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Name of Person Filing Grievance
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Relationship to Student
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Student Address (House Number, Street, Apt #)
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City
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Zip Code
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Daytime Phone Number
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Alternate Phone Number
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Email Address
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Please write a brief description of the problem(s) and relevant facts:
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Please write a proposed remedy or solution:
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A copy of your responses will be emailed to the address you provided.
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