_____________________

_____________________

_____________________

Parent/student name & address

_______________ ____, 20____

___________________________

___________________________

___________________________

___________________________

Educational Diagnostician, Principal or Director of Special Education

Name & address

To Whom It May Concern:

I/My child, _____________________________________, has an I.E.P. pursuant to the Individuals with Disabilities Education Act. I am requesting that you convene an I.E.P. meeting to discuss some concerns that I have. Specifically, I would like the I.E.P. meeting to address the following topic(s):

1.___________________________________________________________________

____________________________________________________________________

____________________________________________________________________

2.______________________________________________________________

_______________________________________________________________

_______________________________________________________________

3.______________________________________________________________

_______________________________________________________________

_______________________________________________________________

 

4.______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Please contact me at ___________________________ if you have any questions, need additional information, or to select a mutually agreeable date. Thank you.

Sincerely,

 

_____________________

Student/Parent/Guardian