Disability Accommodation Request — School
Request for disability accommodations at a school under Section 504 / IDEA / ADA — for K-12 or higher education.
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Jordan Alex Taylor
jordan.taylor@example.com / +1 503 555 0118
Date: May 5, 2026
To: Ms. Maya Chen, 504 Coordinator and Special Education Director
Lincoln Elementary School (Portland Public Schools, OR)
Re: Request for Disability Accommodations
Student: Ellis Taylor (DOB September 4, 2018)
Grade: 4th Grade
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Dear Ms. Maya Chen, 504 Coordinator and Special Education Director,
I am formally requesting disability accommodations under Section 504 of the Rehabilitation Act (504 plan) for my studies.
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DISABILITY (with limited disclosure)
My child has been diagnosed with ADHD (combined presentation) and dyslexia by Dr. Maria Sanchez at Pacific Pediatric Psychology, with the most recent neuropsychological evaluation dated 2025-12-10. Documentation is attached.
The disabilities substantially limit major life activities including reading, concentrating, and reading-related learning.
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LIMITATIONS IN THE SCHOOL CONTEXT
Reading: significant difficulty with grade-level reading comprehension under timed conditions; reading speed is below grade norms.
Written expression: handwriting and spelling are below grade norms; child becomes fatigued after 10-15 minutes of sustained writing.
Attention and focus: difficulty maintaining attention during longer instruction blocks (>30 minutes) without breaks; easily distracted in busy classroom environments.
Test-taking: difficulty completing standard timed tests in allotted time; performance does not reflect actual mastery when timed.
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REQUESTED ACCOMMODATIONS
Reading and assignments:
- Audiobook / read-aloud option for grade-level texts.
- Extended time (1.5x) on reading-comprehension assignments and tests.
- Reduced reading-load homework where instructional objective can be met with shorter texts.
Writing:
- Speech-to-text software for longer writing assignments.
- Reduced quantity (not quality) on writing-volume tasks.
Attention and pacing:
- 5-minute movement break every 30 minutes during longer work blocks.
- Quiet space available for testing and assignments requiring sustained focus.
- Pre-typed copies of teacher's board notes (rather than copying from the board).
Test-taking:
- Extended time (1.5x) on all timed assessments.
- Quiet, low-distraction testing environment.
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DOCUMENTATION OFFERED
Neuropsychological evaluation report from Dr. Maria Sanchez, PsyD (Pacific Pediatric Psychology), dated 2025-12-10. Diagnoses: ADHD-Combined presentation (DSM-5: F90.2), Specific Learning Disorder with impairment in reading (DSM-5: F81.0).
Letter from Dr. Lin Chen, MD (pediatrician) corroborating diagnosis and supporting recommended accommodations.
Wiat-IV academic achievement testing scores attached as appendix.
I authorise the school to share this documentation with the 504 / IEP / accommodations team only as needed to evaluate this request. Confidentiality consistent with FERPA and Section 504 / IDEA confidentiality rules is requested.
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MEETING REQUEST
I am requesting a 504 plan meeting within 30 calendar days, in compliance with district timelines for 504 implementation. I am available weekday afternoons after 3 PM and Friday mornings; I can also attend by video if scheduling in person is difficult.
Please confirm receipt of this request in writing.
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I look forward to working collaboratively with the school to ensure Ellis Taylor has the supports needed to access education on equal terms with peers.
Thank you,
_______________________________ Date: May 5, 2026
Jordan Alex Taylor
About this template
School-based disability accommodations operate under different legal frameworks depending on the student's level. K-12 PUBLIC schools are primarily governed by IDEA (Individuals with Disabilities Education Act) for students who qualify for an Individualized Education Program (IEP) and Section 504 of the Rehabilitation Act for students who qualify for a 504 plan. IEP students receive specially-designed instruction and related services; 504 students receive accommodations to access general education on equal terms. K-12 PRIVATE schools are governed by ADA Title III (no IDEA obligations) but with a duty to make reasonable modifications. POST-SECONDARY institutions (public or private) follow Section 504 and ADA Title II/III; there are no IEPs in college, only accommodations through the Disability Services Office. The procedure: parent (K-12) or student (post-secondary) submits a written request, attaches documentation from a qualified professional, and the school evaluates eligibility and determines accommodations. Timelines: IDEA evaluation must conclude within 60 calendar days of consent; 504 evaluations have similar but state-specific timelines. Most schools schedule a meeting within 30-60 days. Common pitfalls in K-12: parents sometimes go to teachers first instead of the formal 504/IEP coordinator; schools sometimes provide informal supports without documenting them in a plan, which provides no legal protection. Common pitfalls in post-secondary: students don't register with the Disability Services Office until a problem arises; some students don't realise they need to register at each new institution. Documentation requirements vary: K-12 typically wants a comprehensive evaluation; post-secondary often wants a more recent evaluation with explicit functional limitations and recommended accommodations. Self-advocacy in college differs sharply from K-12 — students must request their own accommodations and communicate with the Disability Services Office.
When to use it
- Parent requesting K-12 504 plan or IEP for child.
- College student registering with Disability Services Office.
- After diagnosis of a learning, attention, or other disability.
- After the student's educational performance suggests undiagnosed accommodations needs.
- Renewal or update of an existing accommodation plan.
What to include
- Requester role (parent vs adult student).
- Student identification and grade.
- Specific legal framework (504, IDEA, ADA).
- Disability description with diagnosis (limited disclosure).
- Functional limitations in the school context.
- Specific accommodations requested.
- Documentation from qualified professional.
- Meeting request with timeline.