[Date] 

[Name of Regional Center Service Coordinator]
[Address]
[Email Address]
[Fax Number]

RE: 															   		  	Request for an IPP Meeting Within 30 Days As Required By 
             Law for [Name of Regional Center Consumer]
Dear [Name of Regional Center Service Coordinator]:

My name is [Name of Regional Center Consumer/Authorized Representative] and I am writing this letter to request an IPP meeting.  The purpose of the IPP meeting will be to discuss the following: 

1.
2.
3. 

I am requesting a regional center “decision-maker” to be present at my IPP meeting.  Please send me a copy of my most recent written IPP as soon as possible.  If you have any questions, please do not hesitate to contact me.  I provided my contact information below.  Thank you for your time and attention.  

Sincerely,

[Name of Consumer/Authorized Representative]
[Address] 
[Telephone Number]
[Email Address]
[Fax Number]