A FOLLOWT1Ds Resource

504 AccommodationRequest Form Builder

Loading categories for T1D school accommodations:

Nurse & Trained Staff

A FOLLOWT1Ds Resource

Build and Print a 504 Accommodation Request Form

Choose and customize your child’s T1D school accommodation requests to print, share, and discuss with their 504 team.

Takes 10–15 minutes
Español and additional languages coming soon

Before you begin

What this creates

A printable Request Form that organizes selected T1D accommodations to discuss with your child’s 504 team while helping build a living T1D accommodation library that stays up-to-date with the needs of today.

How it works

Choose accommodations by category and customize them as needed.

    Your privacy

    We do not ask for or store names, student details, or completed forms. We collect aggregate accommodation statistics when Print/Save is opened. Exact revised or custom wording is sent only if you choose to share it. Read our Privacy Policy.

    Example of the printable proposal this tool creates
    Example PDF of the T1D 504 Accommodation Request Form

    Disclaimer

    • This tool does not provide medical or legal advice.
    • This Request Form helps identify accommodations to discuss with the student’s Section 504 team. It is intended to be used alongside, not in place of, the student’s Diabetes Medical Management Plan (DMMP) or Individualized Healthcare Plan (IHP).
    • This tool does not collect or evaluate personal information about the student and does not determine which accommodations are appropriate for an individual student.
    • This tool only organizes the accommodations you select for discussion with the school’s Section 504 team; the school remains responsible for developing and issuing any Section 504 Plan.
    • FOLLOWT1Ds is not responsible for decisions, actions, or outcomes resulting from use of this resource.
    Review your completed form

    Review your T1D 504 Accommodation Request Form before printing or saving it as a PDF.

    Page 1 - Letter size

    T1D 504 Accommodation Request Form

    T1D accommodation requests for individualized consideration by the Section 504 team

    Student and family information

    Date
    Student name
    Grade
    Parent/guardian name
    School name
    Contact phone number (call first)
    Alternate phone number (call second)
    Parent-prepared for Section 504 discussion; not a final plan or a substitute for the student’s DMMP, IHP, provider orders, or Section 504 team decisions. FOLLOWT1Ds | www.followt1ds.org | advocacy@followt1ds.org Page 1

    Before printing, please confirm:

    Watch the 504 Request Builder Video Tutorial

    Preparing for a 504 meeting shouldn’t mean starting with a blank page… That’s why we created the FREE 504 Accommodations Request Builder! Because every child is different. And sometimes, finding the right words is half the battle.

    This interactive & customizable tool helps parents explore accommodation language and organize the accommodations they want to discuss with their child’s 504 team. Simply select the accommodations that apply to your child, customize the wording, or create your own.

    When you’re finished, you can turn everything you’ve selected into a printable Request Form to take to the 504 meeting