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Due Process Hearing Request

YOUR NAME
YOUR ADDRESS
YOUR PHONE NUMBER

                                                                                                                  DATE

PRINCIPAL NAME
SCHOOL ADDRESS

Dear (Principal Name),

I am the parent of (child’s name), D.O.B. (child’s birth date), who attends (name of school child attends).  I am requesting a Due Process Hearing to resolve the following issues pertaining to my child’s special education program/placement:

1.     _______(Fill in your concerns here)_____________________________

2.     ___________________________________________________________

I am willing to attend a Pre-Hearing Conference to try to resolve these issues. 

          I am aware that the Hearing is to be held within the 30 day  timeline, and of the 10 day timeline to schedule the Pre-Hearing Conference.

                                                               Sincerely, 

                                                              (YOUR NAME)

cc:  Regional Special Education Directors, Regional Case Manager, Advocate and/or Lawyer

        (List anyone else you are giving a copy of this letter to.)

* * REMEMBER TO KEEP A COPY FOR YOUR RECORDS!