You have the right to legal representation, to review your and to request child’s records an impartial hearing if you disagree with the evaluation, district’s identification, provision of services, educational placement or change or termination of services under Section 504 as summarized in your procedural rights statement sent with the notice of this meeting. If you desire a review of your records, have questions concerning child’s your legal rights or wish to initiate a hearing, please contact: _____________, Section 504/ADA Coordinator at _____________. I have received a copy of the Section 504 Conference Summary I have received a copy of the Section 504 Procedural Safeguards ___________________________________________ _______________ Signature of Parent/Guardian Date
You have the right to legal representation, to review your child’s records and to request an impartial hearing if you disagree with the district’s identification, evaluation, provision of services, educational placement or change or termination of services under Section 504 as summarized in your procedural rights statement sent with the notice of this meeting. If you desire a review of your child’s records, have questions concerning your legal rights or wish to initiate a hearing, please contact: _____________, Section 504/ADA Coordinator at _____________. I have received a copy of the Section 504 Conference Summary I have received a copy of the Section 504 Procedural Safeguards ___________________________________________ _______________ Signature of Parent/Guardian Date