Sample Special Education Evaluation Request Letter

(Date)

Amy Moynihan

Director of Special Education

Taunton Public Schools

50 Williams Street

Taunton, MA 02780

Dear Ms. Moynihan,

I am requesting that my student be evaluated to determine if he/she/they have a disability and meets criteria for special education services.

Student’s Name : 

Student’s Date of Birth:

Address:

Phone Number: 

Legal Guardian’s Name(s):  

Language that is spoken at home: 

Suspected Disability: 

Within five(5) school working days of reciept of this request for evaluatio, the District shall send written notice to the student’s guardian.

Sincerely,

[Parent/Guardian/Caregiver Name]
[Signature, if submitting in print]

Submission Information

Please submit this request by email to amoynihan@tauntonschools.org, or mail or deliver it to:

Special Education Department

Taunton Public Schools
50 Williams Street
Taunton, MA 02780