Stan Bunn
State Superintendent of Public Education
Oregon Department of Education
Public Service Building
255 Capitol Street NE
Salem, OR 97310-0203

Dear Mr. Bunn:

Our child, (child's name), attends (school your child attends). We are requesting, in accordance with Oregon Administrative Rule 581-01-0010, that the Oregon Department of Education investigate our allegations that the (name of the school district) has violated federal law and regulations. We have outlined the following allegations and have supplied information to support our charges:

(Each allegation should be clearly written and brief information furnished. Supporting documents such as IEPs, evaluations and/or progress reports should be attached. Keep Copies!)

It is our understanding that a copy of this letter of complaint will be forwarded to the school district and that the complaint will be investigated and resolved within 60 days of receipt.

We are available on (give days and times that are convenient for you) if you wish to discuss these allegations. Should you require us to furnish additional information or materials, please let us know.

Sincerely,

Name
Address
Telephone Numbers (work/home)

cc: Director of Special Education (in your district)
Principal of School