Sample Forms and Letters
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Sample forms and letters are offered here by United We Stand of New York, developed by the Parent Information Center on Special Education. These are provided in Adobe Acrobat Documents (also known as "PDFs"). You can download a free copy of the latest Adobe Reader at the Adobe website.
Sample Forms and Letters
| Sample Form or Letter | Description |
|---|---|
| Sample Reevaluation Request Letter |
NOTE: This sample re-evaluation request letter, could be sent to Special Education Director, Principal, Contact Person or Superintendent. It is helpful to send it to more than one person. |
| Sample Referral Letter |
Note, this sample referral letter could be sent to the Special Education Director, Principal, Contact Person or Superintendent. |
| Sample Letter - Request for Evaluation |
Template letter to request child be evaluated for special education services. Source: National Dissemination Center for Children with Disabilities (NICHCY). |