DATE
XXX, School Psychologist/Principal/Teacher
School address

RE: Student’s name and DOB/Request for assessments

Dear Ms/Mr. X:

I am Student’s (educational advocate, therapist, county social worker, etc). Student is currently enrolled in the X grade at X School. His foster caregiver, X, and I have reviewed and discussed Student’s educational (and mental health) history. We are concerned about his educational progress and would like him to be assessed for special education services.

We are requesting that an IEP meeting be held as soon as possible to address the apparent learning disabilities (and emotional disturbance) that adversely affect Student’s educational performance. Cal. Ed Code § 56029. I would like to explore the possibility of other underlying learning disorders, as he has a history of poor academic performance, despite interventions. (I also believe X is in need of positive behavioral interventions in order to maintain appropriate behavior so that he can focus and complete his coursework.)

I expect that (name of education rights holder), who holds education rights for Student, will receive an assessment plan for her approval within 15 days. Cal. Ed. Code § 56321(a). (Contact information below). In the event a Student Study Team convenes in the meantime, I would like to be involved. I also request that I receive notice to participate in the IEP meeting. If the district ultimately determines that Student does not qualify for an IEP, I request that he be assessed for services under Section 504 of the Rehabilitation Act of 1973.

Please call me at (916) # if you have any questions. You can reach (caregiver) at (916) #, and (Ed rights holder) at #. Thank you for your attention to Student’s educational needs.

Sincerely,

_______________________
Attorney, therapist, SW, etc.

Cc:// Teacher, principal, school psych, and program specialist.