Sample Letter #3 - How to Request Mediation

(Insert date)
(Insert Official's Name)
(Street Address)
(City/State/Zip Code)


 
Dear Early Intervention Official:

 
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).

Sincerely,


 
(Insert Name)
(Street Address)
(City/State/Zip Code)
(County)
(Area Code/Phone #)
 

Next Page
Parent's Guide Index