By Lauren | Salt Lake Occupational Therapy
Last updated: September 10, 2026
If you’re weighing an IEP versus a 504 plan for your child in Utah, this parent-friendly guide may help you clarify what to request and how to prepare. We’ll outline who each plan may help, what Salt Lake City families can expect from school teams, and how occupational therapy (OT) may support access and participation. These plans can improve access to learning, but they do not promise specific grades, test scores, or behaviors—every plan is individualized. A practical next step is to gather observations and request a school evaluation in writing; if you’d like a teammate, we can help you organize priorities and collaborate with your school.
IEP vs 504: What’s the real difference?
Both IEPs and 504 plans exist to support students with disabilities, but they come from different federal laws and offer different kinds of help.
- IEP (Individualized Education Program): Provided under the Individuals with Disabilities Education Act (IDEA). It is for students who meet specific eligibility categories and need specialized instruction. The IEP includes goals, services, accommodations, and how progress will be measured. See the federal overview for details on eligibility and services (U.S. Department of Education, IDEA).
- Section 504 Plan: Part of the Rehabilitation Act of 1973. A 504 plan provides accommodations and supports so a student with a disability can access learning on an equal basis with peers; it typically does not include specialized instruction. For definitions and examples, review the Office for Civil Rights FAQ (U.S. Department of Education, OCR 504 FAQ).
What each plan may include
- IEP may include: specialized instruction, related services (such as speech/OT/PT), behavior supports, assistive technology, accommodations, transportation, and measurable annual goals tied to progress monitoring.
- 504 plan may include: accommodations like preferential seating, visual schedules, extended time, reduced distractions, health/safety plans, or access supports during instruction and testing.
Parents often ask which is “better.” The most helpful fit depends on eligibility and what your child needs to learn and participate.
How Utah schools apply these federal supports
Utah schools follow IDEA and Section 504. Each district may use its own forms and timelines, but families typically experience a process such as:
- Referral or parent request for evaluation in writing
- Review of concerns and existing data; consent for evaluation
- Multidisciplinary evaluation (school-based assessments; outside reports considered)
- Eligibility meeting (IEP or 504 team discusses results and next steps)
- Plan development (goals, services, accommodations)
- Implementation and periodic review (progress monitoring; annual updates)
In Salt Lake City, you may submit your written request to your child’s teacher, counselor, or administrator. Keep copies and note dates. If your child is not found eligible for an IEP, the team may consider a 504 plan to support access. If you are still gathering observations, milestone checklists from the CDC’s Act Early program can help you describe skills and concerns in everyday terms (CDC developmental milestones).
Tips for a strong written request
- Be specific about concerns (for example, attention during whole-group lessons, handwriting legibility, self-care at school, or transitions) and how they affect participation or learning.
- Share any outside assessments or reports; school teams typically consider these alongside their own data.
- Ask what data may be collected and the anticipated timeline; confirm how you’ll be notified of meeting dates.
- Prepare 2–3 priority goals for school function (for example, “remain engaged during whole-group instruction,” “produce legible writing for short assignments,” or “use a visual schedule to transition calmly”).
If you want support organizing evidence and practicing talking points, our IEP and student advocacy services can help you prepare, join meetings when appropriate, and follow up thoughtfully. Learn more here: IEP & student advocacy services. You can also request a consultation to consider whether advocacy or an outside OT assessment may be a helpful next step for your family.
Which option might fit my child?
- If your child needs specialized instruction to make progress (for example, targeted teaching for handwriting, foundational literacy, motor planning, or social communication), an IEP may be considered under IDEA categories such as Specific Learning Disability, Other Health Impairment, Autism, or Orthopedic Impairment. Eligibility is team-determined under IDEA (IDEA website).
- If your child learns the general curriculum without specialized instruction but needs access supports (for example, extended time, reduced distractions, behavior supports, or sensory breaks), a 504 plan may be a better match (OCR 504 FAQ).
- ADHD commonly affects attention, organization, and behavior. Some students benefit from 504 accommodations; others may qualify for an IEP if they need specialized instruction. Learn more from the National Institute of Mental Health (NIMH ADHD overview).
If sensory processing, self-regulation, or fine-motor challenges are central concerns, an occupational therapy evaluation can help clarify needs and inform either plan. For what an OT evaluation may include locally, see our guide to pediatric OT evaluations in Salt Lake City.
How occupational therapy fits into IEPs and 504 plans
Occupational therapists focus on how children participate in everyday school routines—sitting, writing, organizing materials, self-care, play, and regulation. In schools, OT is a “related service” under IDEA, supporting access to and progress in the educational program; under Section 504, OT may be provided to help address access barriers. To learn more about school-based OT roles, see the American Occupational Therapy Association’s summary of practice in schools (AOTA: School-based OT).
Examples of supports an OT may recommend, depending on the plan and needs:
- Visual schedules, first-then boards, or task breakdowns to promote independence
- Handwriting supports such as paper adaptations, pencil grips, or keyboarding instruction
- Sensory strategies (movement breaks, alternative seating, quiet corners) to support regulation
- Environmental adjustments (desk placement, lighting/noise considerations)
- Collaboration with teachers on routines like arrival, center rotations, and transitions
Common questions from Utah parents
- Can I request a 504 instead of an IEP (or vice versa)? You can share your preference, but eligibility and plan type are determined by the team based on data and the applicable law under IDEA or Section 504.
- Do I need a medical diagnosis to qualify? A medical diagnosis can be helpful, but it is not required for either an IEP or a 504 plan. Schools evaluate educational impact; outside reports are considered along with school data.
- What if challenges involve attention only? Many students with ADHD benefit from 504 accommodations; some may also qualify for an IEP if specialized instruction is needed.
If your child expresses thoughts of self-harm or if safety concerns arise at school or home, seek urgent help right away by contacting your pediatrician, calling 988, or going to the nearest emergency department.
Editorial note
This article is educational and not medical or legal advice. It does not create an evaluation, diagnosis, treatment plan, or attorney–client relationship. Please consult your child’s healthcare provider and school team for guidance specific to your family.
References
- Individuals with Disabilities Education Act (IDEA) website. U.S. Department of Education, Office of Special Education Programs. Accessed 2026. https://sites.ed.gov/idea/
- Protecting Students With Disabilities: Section 504 of the Rehabilitation Act — FAQs. U.S. Department of Education, Office for Civil Rights. Accessed 2026. https://www2.ed.gov/about/offices/list/ocr/504faq.html
- Learn the Signs. Act Early. Developmental Milestones. Centers for Disease Control and Prevention. Accessed 2026. https://www.cdc.gov/ncbddd/actearly
- Attention-Deficit/Hyperactivity Disorder (ADHD). National Institute of Mental Health (NIH). Last Revised 2024; Accessed 2026. https://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd
- School-based Occupational Therapy. American Occupational Therapy Association. Accessed 2026. https://www.aota.org/practice/children-youth/school-based
Ready to feel more confident in your next school meeting? If you’re in the Salt Lake City area and want a thoughtful partner, reach out to schedule a conversation. We’ll listen to your goals, help organize questions for the team, and explore whether advocacy support or an OT evaluation may help your child participate and learn more comfortably.
How we can help: IEP & Student Advocacy
Navigating the IEP process to ensure your child receives the services and accommodations they need.
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