Forms & Processes
These forms and resources have been developed to assist parents and educators in determining eligibility for 504 services and addressing 504 requirements.
Heartland AEA Documents
Informative brochure which is often used by districts to notify parents of their rights under Section 504 and serve as second notice
A step-by-step guide through the 504 process of identification to eligibility determination to plan revision
Form to obtain parental consent prior to evaluation for 504 eligibility and notice of parental rights
Iowa Department of Education release form modified with their consent to serve for Section 504; district letterhead may be placed at the top of the forms
Helpful resource for determining eligibility for 504 services
Manifestation Determination Guide
An optional form that districts may use if they don’t have their own
A blank 504 plan template which districts may use to write student plans
*504 Plan Without Demographic Information
*Extra page to add to 504 plan template without demographic information at the top
Allows teachers to give meeting input without attending
Student Accommodation Request Form (SAR)
Directions for Completing SAR Form
Required form for graduating students with 504 plans attending post-secondary education and directions for completing the form
State Documents
DE Special Education Withdrawal Letter
Iowa Department of Education guidance for parents who withdraw children from special education and demand Section 504 plans
Diet Modification Request Form
Iowa Department of Education form to assist districts/schools in noting substitutions in meals for students who are considered to have a disability as defined by Section 504 or the Americans with Disability Act
For additional information on Section 504 requirements in Iowa, visit: