Request an Evaluation

This template includes California timelines. Confirm your state’s rules and adjust those sentences before sending.

Preview

Dear [recipient],

I am the parent of [child] (DOB [dob]), a [grade] student at [school]. I am writing to request a comprehensive evaluation in all areas of suspected disability to determine whether [child] is eligible for special education and related services.

My concerns include:
[reasons]

I understand that I should receive an assessment plan within 15 days of this request. Please contact me to discuss next steps.

Sincerely,
[parent]
10/29/2026
Email