Iep Evaluation Request Letter Template

You can open the Iep Evaluation Request Letter Template in multiple formats, including PDF, Word, and Google Docs.


Sample

IEP Evaluation Request Letter Template

Printable | Editable Form



Examples


IEP Evaluation Request Letter Template (1)
To:
[Name of the School/Institution]
[School’s Address]
[City, State, Zip Code]
Date:
[Date]
From:
[Parent/Guardian Name]
[Parent/Guardian Address]
[City, State, Zip Code]
[Phone Number]
[Email Address]
Subject:
Request for Evaluation for Individualized Education Program (IEP)
Dear [Recipient’s Name or Title],
Introduction:
I am writing to formally request an evaluation for my child, [Child’s Name], who is currently enrolled in [Grade/Class] at your institution. As a parent, I believe my child may require additional support to succeed in their educational environment.
Reasons for the Request:
Despite our efforts, I have observed several challenges my child faces in the following areas:
– [Describe academic concerns, e.g., difficulty in reading, inability to focus during class, etc.]
– [Describe behavioral concerns, e.g., anxiety related to school, difficulty following instructions, etc.]
– [Add any other relevant observations that support the need for evaluation.]
Request for Specific Evaluations:
To better understand my child’s needs, I request the following evaluations:
– [Specify evaluations, e.g., Psychological Evaluation, Educational Assessment, Speech and Language Evaluation, etc.]
Parental Involvement:
I would like to be involved in the evaluation process and would appreciate communication regarding any meetings or discussions concerning the evaluation proceedings.
Conclusion:
I kindly ask that this request be considered promptly in accordance with the Individuals with Disabilities Education Act (IDEA). I look forward to your response and am hopeful for a collaborative approach to support my child.
Thank you for your time and attention to this important matter.
Sincerely,
[Signature of the Parent/Guardian]
[Parent/Guardian Name]
IEP Evaluation Request Letter Template (2)
To:
[Name of the School/Institution]
[School’s Address]
[City, State, Zip Code]
Date:
[Date]
From:
[Parent/Guardian Name]
[Parent/Guardian Address]
[City, State, Zip Code]
[Phone Number]
[Email Address]
Subject:
Request for IEP Evaluation
Dear [Recipient’s Name or Title],
Purpose of the Letter:
I am writing to formally request an evaluation for my child, [Child’s Name], to assess their eligibility for an Individualized Education Program (IEP). I believe that an evaluation is necessary to provide the appropriate support tailored to their educational needs.
Observations of Concerns:
I have noted several areas of concern regarding my child’s performance, including:
– [List specific educational concerns, e.g., struggles with mathematics, reading comprehension, etc.]
– [List specific behavioral or social concerns, e.g., difficulty with peer interactions, signs of anxiety, etc.]
– [Include any relevant comments on your child’s overall progress or experiences in school.]
Requested Evaluations:
I am requesting the following assessments be included in the evaluation:
– [List specific assessments, e.g., Comprehensive Psychoeducational Evaluation, Speech and Language Assessment, etc.]
Parent Collaboration:
I wish to engage fully in the evaluation process and welcome communication from the school regarding the timeline and next steps.
Closing Remarks:
I appreciate your attention to this request and trust that we can work together to secure the best support for my child in their educational development.
Thank you for your consideration.
Warm Regards,
[Signature of the Parent/Guardian]
[Parent/Guardian Name]

Format

Please complete the form below to create the IEP Evaluation Request Letter Template. All fields must be filled out to ensure a clear and complete request. We provide examples to guide you through each step.

IEP Evaluation Request Letter Template

1. Parent/Guardian Information



2. Student Information


3. School Information


4. Reason for Evaluation Request

5. Relevant Background Information

6. Previous Evaluations or Interventions

7. Additional Comments

8. Request for IEP Meeting

9. Signature and Date



PDF


WORD

Google Docs

Printable

IEP Evaluation Request Letter Template

Printable | Editable Form




Iep Evaluation Request Letter Template