Special education in California checklist
A printable from Special education in California. Fill it in by hand. Nothing you write is collected by this website.
Printable checklist
Printable assessment request
Date: ______________
To: Principal, ______________ School, and Special Education Office, ______________ School District
From: ______________ (parent or guardian of ______________, grade ____ )
Phone or email: ______________
I am writing to ask for a special education assessment for my child in all areas of suspected disability.
I am worried because:
Please send me a proposed assessment plan within 15 calendar days, as required by Education Code 56043.
Please send all notices and the assessment plan in ______________ (language), and provide an interpreter at meetings.
Signature: ______________________
Keep a copy. Write down the date and how you delivered it.
From Special education in California. Facts checked October 21, 2026. Free information, not legal or medical advice.