Download: Sample 504 plan for a child with ADHD

By Amanda Morin

Sample 504 PlanPDF

Download$opens in a new tab

Looking for a sample 504 plan for a child with ADHD or another challenge? It might be hard to find one. That’s because while IEPs are based on a federal model, doesn’t provide a standard form or template for 504 plans. Each school district develops its own plans. In fact, the law doesn’t even require that the plan be written or have parent input.

Most school districts, however, will use written 504 plans and involve parents. You can use this sample 504 plan form to take notes at a meeting or bring in your own thoughts. You might even suggest that the school use this form if they don’t already have a standard form. Don’t be surprised, however, if the school decides not to use this form.

While this sample 504 plan is for a child with ADHD, it can be adapted for other disabilities. You can fill in and adjust the blank sample 504 plan as needed.

Keep in mind that a 504 plan is for services and supports in the general education classroom. If a student needs specialized instruction, it may be time to talk to the school about an IEP instead of a 504 plan.

Related downloads

    Tell us what interests you

    Share

    About the author

    About the author

    Amanda Morin is the director of thought leadership at Understood and author of “The Everything Parent’s Guide to Special Education.” She worked as a classroom teacher and early intervention specialist for more than a decade.