(Special Education Director)
(School City, State and Zip)
(School Telephone number)
Subject: (child’s name and date of birth)
To whom it may concern:
My/our child (name of child), is a resident of (name of district). Currently, (name of child) attends (school, class, program, etc.). (Name of child) has (brief description of disability) and qualifies for special education services under the Individuals with Disabilities Education Improvement Act (IDEIA).
(Describe the problem. If there are several, list and number them separately. Include facts and dates if you have them.)(Describe the steps you have taken to resolve the problem(s): who you talked to, when, what happened, etc. This might include meetings you have had, letters you have written, agreements you thought were made, etc. Make specific requests for solving the problem(s) and include any information that supports your position.)
Please provide me/us with a written response to my/our request by (list date by when you want a response; usually 10 working days is more than reasonable). I/we appreciate your continued effort in (child’s name) educational progress.
(Your city, state and zip)
(Your phone number)
cc: Student's Permanent School File