Sample Advocacy Letters

Sample Letter Requesting Referral for Initial Evaluation

PARENT'S NAME
ADDRESS
CITY, STATE ZIP CODE
TELEPHONE NUMBER

Date

(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 believe that s/he might have unidentified disabilities. The following difficulties support my concern:

(List your observations - here are some examples)
- S/he does not respond normally to sensory input;
- S/he shows no desire to explore her environment through touch;
- S/he has difficulty holding a pen or pencil with a mature grasp;
- S/he has difficulty when applying decoding skills when writing; and
- S/he has poor short-term memory.

Please evaluate (child's name) under the Individuals with Disabilities Education Act [IDEA] and Section 504 of the Rehabilitation Act to see if s/he has a disability and if related services are necessary. Please consider this letter my consent to evaluate (child's name) for special education needs and services. It is my understanding that the District must complete the evaluation and determination process within 60 days from the date of consent. If the District requires consent in addition to the consent given in this letter, please provide me with the required consent form within 3 business days so that we can move forward expeditiously.

Please call me at home to arrange times and places. I will need my copies of all written evaluations at least three school days before the IEP Team meeting. I will advise you of my IEP Team meeting availability dates by separate letter.

Thank you for giving (child's name) evaluations your immediate attention. I will work with you to address and achieve (child's name) educational goals.

Sincerely,

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

Sample Letter Provided by Family Resource Network, Inc.