This form is used to request a meeting to review a student's Section 504 Plan. Please complete the form below.

Once the form is completed, the District 504 Coordinator will process the request in a timely manner.

If you have any questions about this process, please contact your school's 504 Designated Person.
Email address *
General Information
Person Requesting Review Meeting *
Student's First Name *
Student's Last Name *
Student's School *
Requested Information
Please answer the following question a thoroughly as possible.
Reason for Request *
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This form was created inside of Tippecanoe School Corporation.