Request for additional assessments

Make sure you have proof that you gave this to your school or district office. Ask them to put a time and date/stamp on it, and give you a photocopy after it has been stamped. Also, make sure you put it in a safe place; you may need it in the future.
(Today’s date)

(Special Education Director)
(School Principal)
(School Name)
(School Address)
(School City, State and Zip)
(School Telephone number)

Subject: (child’s name and date of birth)

To whom it may concern:

My/our child (child’s name) is a resident of (name of district). Currently, (child’s name) attends (school, class, program, etc). (Child’s name) has (brief description of disability) and qualifies for special education services under the Individuals with Disabilities Education Improvement Act (IDEIA).

I/we believe that (child’s name) has additional areas of disability that need to be addressed, specifically (describe issue) and are requesting a formal assessment to determine if this is an issue that impacts him/her in the educational environment.

Please forward an assessment plant to me within 15 calendar days as required by California Education Code. I/we appreciate your continued effort in (child’s name) educational progress.


(Your name)
(Your address)
(Your city, state and zip)
(Your phone number)

cc: Student's Permanent School File