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FROM: (your name, address, phone/email) DATE: CHILD'S NAME: SCHOOL NAME & ADDRESS: PRINCIPAL'S NAME: GRADE LEVEL: CURRENTLY IN SPECIAL EDUCATION PROGRAM: (yes or no)
Dear Mr./Ms.
This is a formal complaint and request for an investigation into the following situation. We are asking your help in resolving a problem that has arisen regarding our son/daughter. (CHILD'S NAME) educational needs currently are not being met by our local school system. As a result, he/she is unable to receive an appropriate education based on his/her particular learning problems. (*State what your child's learning disability is).
- Our child, (CHILD'S NAME), has received education testing. (List the particular tests administered by the school system.)
- In addition we have had (CHILD'S NAME) privately tested by ______________, who administered the following battery of tests: (psychological, educational, speech and language, motor, auditory for hearing impaired, etc.) See attached test results. (Optional, attach if additional testing was administered.)
- **Example: At a recent ARD Meeting (DATE), (CHILD'S NAME) was refused Special Education Services by the ARD Committee. We are disputing this decision. (See Possible Complaint Issues Listed Below.) Although (CHILD'S NAME) is not functioning in accordance with his/her ability and has regressed dramatically in (reading, math, writing), Special Education Services have been denied. (CHILD'S NAME) is not able to produce at the level of his peers or up to his/her own ability, and this has had a very detrimental effect on my child's self-image as well. We strongly feel that (CHILD'S NAME) needs Special Education Services in the following areas:
_________________________________________________________as evidenced by (CHILD'S NAME) classroom performance and by the (Written Language, Reading/Math, Motor, Etc.) section of the enclosed tests. More pertinent is my child's inability to perform these tasks appropriately in the regular classroom setting or at the level of his/her peers. (Taylor this section to your stated complaint issues.)
We are requesting your help in investigating this and helping us resolve this issue in order that our child can receive an appropriate education based on scientific evidence. Any assistance you can give us would be greatly appreciated.
Sincerely,
(Your Name)
(cc:)
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