This is a sample letter to use to request an Assistive Technology Evaluation.  Send this letter to the Special Education Director by certified mail with a return receipt.  Keep a copy for your records. 

(Date)

(Insert name of Special Education Director)
(Insert name of county) County 
(Insert address)

(Insert your name)
(Insert your address)

RE:  Request for evaluation for assistive technology devices, software and/or services 

Dear Mr. or Ms. (Insert Special Education Director’s last name),

         I am the parent of (Insert your child’s full name), I am writing to request an assistive technology evaluation for my son/daughter.  I believe my son/daughter’s education may benefit from the provision of an assistive technology device, software and/or service (here you could state a specific device, software and/or service if you have something specific in mind) and want him/her evaluated.

     I understand that I have to give written permission in order for the testing to begin.  Please consider this request as written permission.  I would be happy to talk with you about (Insert child’s first name), and answer any question you may have.  You can reach me during the day at (Insert daytime telephone number).  Thank you for your prompt attention to my request.

                                                                        Sincerely,

                                                                        (Sign your name)  

                                                                        (Type your name)

Note: If your child currently has an IEP, the school district has sixty (60) days to perform the evaluation or must provide prior written notice within ten (10) days of their refusal and explain why.