Sample Letter Request For An Initial Assessment For Special Education Eligibility

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Sample Letter
Request for an Initial Assessment
for Special Education Eligibility
Parent/Guardian’s name
Address
City, State, Zip Code
Daytime Telephone
Date
______________(Principal or Special Education Director)
Local School District
Address
City, State, Zip Code
Dear _______________
I am the parent of__________ who is in the ___ grade at ____________(school). I am requesting
a comprehensive assessment in all areas related to suspected disability to determine whether
_______is eligible for special education and/or related services either under the Individuals with
Disabilities Education Act (including the Other Health Impairment category) or Section 504 of the
Rehabilitation Act of 1973.
I am requesting this assessment because __________________(be specific). The following
interventions and accommodations have already been tried. (list interventions such as seating
assignments, quiet area to take tests, etc.) However, my student continues to struggle in school
with___________. If applicable add: ____________has been diagnosed
with_____________by____________(professional).
It is my understanding that I will hear back from you in writing within 15 days of this request.
I look forward to hearing from you and working with you and your staff.
Sincerely,
Your name
cc: include others who you think might need to know about your request
***************************************************************************
NOTE:
If the district agrees to conduct an assessment, when you give your written permission to the assessment
plan, it is VERY important to put in writing that you would like copies of all written reports one week prior to
the meeting where these reports will be discussed.

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