Sample Letter #3 - How to Request Mediation
| (Insert date) (Insert Official's Name) (Street Address) (City/State/Zip Code) |
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| Dear Early Intervention Official: |
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| I would like to request mediation. I am concerned about the early intervention services that my child, (insert child's name) is receiving or should be receiving. I hope you will agree to this request. If so, I understand that someone will contact me to make arrangements for mediation. The best time to reach me is on (insert days and times). |
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| Sincerely, |
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| (Insert Name) (Street Address) (City/State/Zip Code) (County) (Area Code/Phone #) |
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