_______________(Principal or Special Education Director)
School /School district
City, State, Zip Code
My name is _______________________________ I am the parent of ____________________ who is in the _____grade at ______________________ (Name of school). I am requesting a comprehensive evaluation in all areas of suspected disability to determine if my child is eligible for special education and/or related services under the Individuals with Disabilities Education Act (IDEA) or Section 504 of the Rehabilitation Act of 1973.
My reason for requesting this assessment is because _________________ (be specific). We have worked with my child’s teacher ___________________ and have implemented the following interventions and accommodations ___________________ (list all – preferential seating, shortened assignments, extended test times, etc). However, my child continues to struggle in school.
We have also received a diagnosis of __________________ from ______________ (name professional if applicable) (Include any paperwork that includes diagnosis)
I understand that I will be receiving the paperwork I must sign and return to give consent for the evaluations before the evaluations may be performed.
I look forward to hearing from you and working with you and your staff.
Cc: – People who you want to send this letter too.
Save a copy for your home file.