Sample Advocacy Letters

Sample Letter Requesting an Autism Spectrum Disorder Evaluation


(Name of Special Education Director)
(Name of School District)
(Address of School)

Dear (Name of Special Education Director):

My child, (child's name), (date of birth) attends (school name). I suspect that my child has an Autism Spectrum Disorder due to the following signs and symptoms that are consistent with ASD:
(List observed signs and symptoms consistent with ASD that have prompted you to initiate this request)

I am requesting that you evaluate my child in the area related to the suspected disability by a specialist with knowledge in diagnosing Autism Spectrum Disorders. I believe this information is needed to plan an appropriate educational program for my child.

Please inform me in writing within seven days whether you intend to honor my request.

Thank you and I look forward to hearing from you soon.


(Your name)
(Your address)
(Your telephone number)

Sample Letter Provided by Family Resource Network, Inc.