504 Accommodation Requests

504 Accommodation Requests

If your child requires 504 Accommodations, please download and complete the forms below:

• Parent request for 504 Services DOWNLOAD FORM
• Medical review for 504 Accommodations DOWNLOAD FORM

Please return both completed forms to Tessa Derfner, Assistant Principal, at TDerfner@schools.nyc.gov or to your child’s Guidance Counselor.

Requests for 504 Accommodations are reviewed by the 504 Team monthly.

For more information on 504 Accommodations, and to find translated versions of these forms, please visit the Department of Education's 504 Accommodations webpage.

Tessa Derfner
Assistant Principal
K-12 Special Education
TDerfner@schools.nyc.gov