CSE Request Form Letter

Form Letter for Requesting a Case Study Evaluation


__________________, Superintendent

_____________ School District
Street Address
City, Illinois Zip

Re: Child’s name, Age ___, DOB _________

Dear Ms./Mr./Dr. (Name of Superintendent):

Please consider this a formal request for a case study evaluation, pursuant to the Individuals with Disabilities Education Act (20 U.S.C. 1414(a), 34 CFR 300.301), the Illinois School Code (105 ILCS 5/14-8.02) and Illinois’ special education regulations (23 Ill. Admin Code 226.110).

I understand under these provisions that you or a representative from your school district are now required to contact me within 14 school days of the above date indicating whether the case study evaluation will be conducted or denied. If the CSE is denied, you must notify me in writing of the reasons for the denial. Should a case study evaluation be warranted, an IEP team is also required to meet within this 14-day time span in order to conduct the Identification of Needed Assessments and to solicit my written consent for these assessments.

I look forward to hearing from you in this regard.


(Insert name of parent)

cc: School Principal