Sample Letter

Date

Dear recipient of letter:

I am the parent of child's name, whose date of birth is child's date of birth, and who is a student in the grade level grade at school. Since child's name entered school, (or give the date the child entered school), teachers have been raising concerns about his/her academic performance and behavior. My child is not doing well in school and may need special education services. I am therefore requesting a multidisciplinary team evaluation to determine if child's name is eligible for special education and/or related services under both the IDEA (including the IDEA “Other Health Impairment” category) and Section 504, in accordance with the IDEA regulations 34 CFR 300.7, plus the public education regulations of this state.

I look forward to hearing from you and to working with you and your staff to ensure a successful educational experience for child's name.

Sincerely,


Your name