[Your full name]
[Street address]
[City, State ZIP]
[Phone]
[Email]
[Date]
Delivered by hand
Director of Special Education
[School district name]
[District office address]
RE: Request for special education assessment of
[Child's full name], date of
birth [Date of birth]
Dear Director of Special Education:
I am the parent of [child's name],
who attends [school name] in
[grade]. I am requesting a full
and individual initial evaluation to determine whether my
child is eligible for special education and related services
under the Individuals with Disabilities Education Act (20
U.S.C. § 1414; 34 C.F.R. § 300.301).
This letter is a written referral for assessment under
California Education Code section 56029.
I am asking the district to assess my child in all areas
related to the suspected disability, as 34 C.F.R. §
300.304(c)(4) and Education Code section 56320(f) require.
Those areas include:
-
Reading, including phonological processing, letter-sound
knowledge, decoding, word reading, fluency, and
comprehension
Please send me a proposed assessment plan within 15
calendar days of receipt of this letter, as required by Education Code sections 56321(a) and
56043(a). I will review the plan and return it promptly.
My child may participate in any interventions the school
offers while the assessment proceeds. I do not agree to
extend the assessment timelines.
If the district decides not to assess my child, please send
me prior written notice of that decision under 34 C.F.R. §
300.503 and Education Code section 56500.4. The notice
should include the reasons for the decision and the records
the district relied on.
Please also send me a copy of the assessment report two
business days before the IEP team meeting so that I can
prepare.
You can reach me at the phone number or email address above.
Thank you for your help.
Sincerely,
[Printed name]
Parent or guardian of
[child's name]
cc: Principal, [school name]