Sample Letter Requesting Students Records

Sample Letter Requesting Students Records

Parent Name
City, State, Zip
Ph. #

Date XX, 2012

(Must be faxed or delivered to the Superintendent)
Superintendent ____________Independent School District
Street Address
City, State Zip Code

Reference: (Students Name)
DOB: (Date)

Dear Dr. (Superintendent):


Please allow me to observe and any and all documents that show or reflect information that is related in any way to the following individual(s):

1. Students full name

2. Mothers full name

3. Fathers full name

4. List any other individuals ? such as step parents, grandparents, guardians, etc?

The responsive documents shall include but are not limited in any way to: Records- handwriting, print, computer, videotape, audiotape, film, microfilm, microfiche or e-mail of an institution that includes information directly related to the individuals listed above in any way that is maintained by an agency or institution or any and all parties acting on its behalf.

Please contact me at my home phone number _______, or by email at _________with the date, location, and hour that this information will be available for my review and provision of copies, as necessary.




Jimmy Kilpatrick, a national recognized professional special education advocate since 1994.

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