Request Letter Sample

Today’s Date (include month, day, and year)

Your Name

Street Address

City, State, Zip Code

Daytime telephone number

Name of Person to Whom You Originally Wrote

Street Address

City, State, Zip Code

Dear (name),

I wrote to you on (date) and also called to make sure you had received my letter. I left a message for you to

call me back on (date). Since I have not heard from you, I thought it best to write again.

I am writing to request (explain your original request briefly).

Enclosed is a copy of my first letter to you.

I would like to hear from you by (give a date, 3 to 5 working days). Thank you for your prompt attention to

this matter.

Sincerely,

Your name

Enclosure

________________

* Adapted from the National Dissemination Center for Children with Disabilities

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Parent category: Letters