504 Plan Accommodation Request

A 504 Plan provides accommodations that level the playing field for your child — extended time on tests, preferential seating, movement breaks, and more. Unlike an IEP, a 504 doesn't require a special education classification. Eli will help you write a clear request that describes your child's needs and suggests specific accommodations based on their challenges.

What challenges does your child face?

Select all that apply. Eli uses these to personalize your letter.

Focus & Executive Function

Difficulty focusing / staying on task

Can't get started on tasks (task initiation)

Forgets instructions / poor working memory

Time blindness / no sense of time passing

Difficulty with organization

Trouble following multi-step instructions

Hyperfocus / can't disengage from activities

Emotional & Behavioral

Emotional outbursts / meltdowns

Extreme sensitivity to criticism or rejection (RSD)

Perfectionism / all-or-nothing thinking

Impulsivity / acting without thinking

Oppositional behavior / defiance

Anxiety (school, social, or generalized)

Daily Life & Routines

Homework refusal / avoidance

Trouble with transitions

Hyperactivity / can't sit still

Morning/bedtime routine struggles

Sleep difficulties / trouble falling asleep

Struggles during unstructured time (recess, free periods)

Social & Sensory

Social difficulties / trouble with peers

Sensory sensitivities

Doesn't notice body signals (hunger, thirst, bathroom)

Tell Eli about your child

The more you share, the more personalized your letter will be. All fields are optional.

Child's first name

Boy / Girl

Age

Grade

Principal or 504 coordinator's name

Your name

Child's strengths

Current challenges at school

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Eli is not a replacement for professional therapy or medical advice. If you or your child are in crisis, please contact the 988 Suicide & Crisis Lifeline or your local emergency services.