Request For An Evaluation Parent Letter Template printable pdf download

Request For An Evaluation Parent Letter Template

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

Your Name

Street Address

City, State, Zip Code

Your email address

Daytime telephone number

Name of Principal or Special Education Administrator

Name of School

Street Address

City, State, Zip Code

Re: Name of Child, Name of School, Purpose of Letter (Request for an Evaluation)

Dear (person’s name),

I am writing to request that my son/daughter, (child’s name), be evaluated for special education services. I

am worried that (child’s name) is not doing well in school and believe he/she may have a disability and

need special services in order to learn. (Child’s name) is in the (__) grade at (name of school). (Teacher’s

name) is his/her teacher.

(If your child has been identified as having a disability by professionals outside the school, you can add the

following: (Child’s name) has been identified as having (name of disability) by (name of professional).

Enclosed is a copy of the report(s) I have received that explains (child’s name) disability.)

Specifically, I am worried, because (child’s name) does/does not (give a few direct examples of your

child’s problems at school).

We have tried the following to help (child’s name): (If you or the school have done anything extra to help

your child, briefly state it here).

I understand that I must give written permission for (child’s name) to be evaluated. Before the evaluation

begins, I have some questions about the process that I need to have answered: (list any questions you may

have). I would be happy to talk with you about (child’s name). You can send me information or call me

during the day at (daytime telephone number). Thank you for your prompt attention to my request.

Sincerely,

Your name

cc / copy sent to: your child’s principal (if letter is addressed to an administrator)

your child’s teacher(s)

________________

* Adapted from the National Dissemination Center for Children with Disabilities

Request For An Evaluation Parent Letter Template