Request Services

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Dear [recipient],

I am writing on behalf of my child, [child] (DOB [dob]), a [grade] student at [school]. I am requesting that the IEP team consider adding [service].

Reasons:
[reasons]

I would like to discuss this at an IEP meeting. If the district declines, please provide Prior Written Notice explaining why.

Sincerely,
[parent]
10/29/2026
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