[Name]
[Address]
[City], CA [Zip Code]
[Telephone Number]

[Date]

[Director/Principal’s Name]
Director of Special Education [OR Principal of [School]]
[School District Name]
[Address]
[City], CA [Zip Code]

Re: [Student]

Dear Director/Principal [Name]:

I am the [parent/guardian] of [Student], who is currently enrolled in [Grade Level] at [School Name]. [Student] receives special education services because of [his/her/their] [disability/diagnoses].
Pursuant to California Education Code Section 56343(c), I am requesting the [District Name] hold an IEP meeting for my [child/student] so that we can review and revise my child’s IEP as soon as possible. Despite [his/her/their] existing IEP, [Student] has been having some problems at school. [Describe any problems that your child is experiencing at school. For example, is your student receiving the services offered in the IEP, and have they been effective? Are there new concerns related to their health, behavior, or disability? Does your child need new goals, different services, more assessments, or different placement?]
The District must hold an IEP meeting within 30 days of my request. Please let me know when the District can meet with me to discuss my concerns for my child. A [morning/afternoon/evening] IEP meeting would be the most convenient for me. Once we agree upon a date and time, please send me a notice of meeting for this IEP meeting.
[OPTIONAL: I plan to record this IEP meeting. This letter serves as my notice to Local Unified School District, which I am giving at least 24 hours before the meeting.
NOTE: You must give the District at least 24 hours’ notice to be able to record an IEP meeting. The District can also decide to record the meeting if it gives you 24 hours’ notice. Click here for more information.]
If you have questions or need to discuss this letter further, please call me [at work/at home/on my cell] at (123) 555-5555 or email me at [email address]. Thank you in advance for your prompt action regarding this request.

Sincerely,

[Name]

CC: [Case Manager Name], [Student]’s Case Manager