Prior Written Notice From School Sample Letter printable pdf download

Prior Written Notice From School Sample Letter

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

Your Name

Street Address

City, State, Zip Code

Your email address

Daytime telephone number

Name of person to whom you’re writing

Title

Street Address

City, State, Zip Code

Re: Name of Child, Name of School, Purpose of Letter (Request an Explanation for Denial of Services)

Dear (Person’s name),

At our meeting (or) During our phone conversation on (date), we discussed my child’s (evaluation,

eligibility, placement, IEP, services, etc.). I requested (________) and was denied (or) I was told the school

intends to (_________). I have never received any information about this decision in writing. In accordance

with the IDEA regulations, I am requesting prior written notice regarding (be very specific about the

issue/decision you want the school to respond to. Bullet or number the items.)

According to the IDEA, at 34 CRF §300.503, prior written notice must include the following:

1. A description of what the school is proposing or refusing to do.

2. An explanation of why the school proposes or refuses this action.

3. A description of any other options the school considered and the reasons those options were rejected.

4. A description of each evaluation procedure, test, record, or report the school used as a basis for this

decision.

5. A description of any other relevant factors that went into this decision.

6. Information on how I can obtain a copy of procedural safeguards available to me under the law and a full

explanation of the safeguards.

7. Information on sources I can contact for help in understanding IDEA’s regulations.

I look forward to receiving a detailed response to my request as soon as possible. Thank you for your

assistance.

Sincerely,

Your name

cc / copy sent to: the principal, supervisor, or special education administrator

other members of the meeting

________________

Prior Written Notice From School Sample Letter