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Sample Forms and Letters

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Sample forms and letters are provided here by the Parent Information Center on Special Education. These are provided in Adobe Acrobat Documents (also known as "PDFs"). You can download a free copy of the latest Adobe Reader at the Adobe website.

Sample Forms and Letters

Sample Form or Letter Description
Sample Reevaluation Request Letter

NOTE: This sample re-evaluation request letter, could be sent to Special Education Director, Principal, Contact Person or Superintendent. It is helpful to send it to more than one person. 
Sample Referral Letter

Note, this sample referral letter could be sent to the Special Education Director, Principal, Contact Person or Superintendent.
Sample Letters

The following sample letters are provided in the attachment:

  • Evaluation Request Letter
  • Re-evaluation Request Letter
  • Independent Evaluations Request Letter
  • IEP Services Request Letter
  • Requesting IEP Member at Meeting Letter