Sample Request (Special Ed)

Advocate’s Name

Address

State, City, ZIP

Telephone Number

Date

Principal

School

Address

State

Reference:       Child’s Name

                        DOB:  (fill in birthdate)

                        School:  (fill in school)

Dear Principal,

I am writing on behalf of, (Child’s Name), requesting she be evaluated for consideration for special education services.  (S/he) is currently in (number) grade at (school).

(Describe why you think your child needs special education services.)

(This request is based on the following state and federal laws)

(The educational benefit that the child would experience in the regular classroom includes…)

(Child) needs additional educational help.  To help expedite the special education evaluation process, please know that by signing this letter I hereby consent to any and all testing that needs to be done to evaluate my child’s need for special education services. 

If you would like me to sign an additional form, I will do so. However, since this letter already gives consent, the required timeline for the evaluation begins now. (We are aware the timeline for the evaluation will be _____________, based on ______________ ).

Please let me know as soon as possible if any records are needed from me to complete the special education evaluation process.

If you have questions about this request, please call me at work (555-5555) or at home (666-6666) after 4 p.m.  I appreciate your help and rapid response.

                                                                        Sincerely,

                                                                        Special Education Advocate