ADVOKID — INITIAL SPECIAL EDUCATION EVALUATION REQUEST
https://www.advokid.ai/resources/request-special-education-evaluation
Updated September 21, 2026. General education, not legal advice.

HOW TO USE: Edit on your own device. Replace the brackets and remove these
instructions before sending through an appropriate school channel. AdvoKid
does not receive your edits. Ask the school who should receive the request.
This sample is not a required legal form, consent form, or deadline calculator.

Date: [date]
To: [school contact and school]
Subject: Request for an initial special education evaluation for [child]

Dear [contact],

I am requesting an initial special education evaluation for my child,
[name], who attends [school and grade].

My concerns are [describe learning or participation concerns]. For example,
[dated observation or work sample]. Relevant information I can share includes
[list only what is useful; do not invent results or diagnoses].

Please confirm receipt and explain the next steps, any consent forms, and
the applicable timeline. Please let me know whom to contact with questions
and how to share supporting records.

I would appreciate information in [language / communication format, if needed].

Thank you,
[Parent name and preferred contact information]

FOLLOW-UP LOG — KEEP SEPARATE FROM THE LETTER
Request sent: [date, recipient, method; keep a copy]
Receipt confirmed: [date and contact]
Consent: [what it covers; date the agency received it]
Applicable timeline: [ask which rule and starting date apply]
Response or notice: [date; keep a copy]
Open question / contact / agreed check-in:

An evaluation request does not guarantee an IEP or a particular service.
The request and consent process are separate. State timelines and exceptions
can apply. Review the linked guide and seek qualified individual advice when
needed; do not calculate a deadline from this template alone.