Sample Letter – Request for Prior Written Notice – PWN

Sample Letter - Request for Prior Written Notice - PWN aspire pans pandas

  • Keep a copy for yourself.
  • Hand deliver and ask for a date stamp or send with Return Receipt to establish timeline or email as an attachment.

(Parent/Guardian Name)
(Home Address)
(City, State, Zip Code)
(Daytime Telephone Number / Email)



(Administrator Name)
(Title – i.e. Director of Student Services / District 504 Coordinator)
(School District)
(District Office or School Address)
(City, State, Zip)

Regarding: PWN Request

Student Name: ( )
Date of Birth: ( )
Name of School: ( )
Grade: ( )

Dear (Name),

At our meeting (or) during our conversation on (Date), we discussed my child’s (For example evaluation, eligibility, placement, IEP, services, etc.).  I requested (insert what you requested) but the IEP team denied the request (or) the school has decided to (insert decision).  I am requesting for Prior Written Notice (PWN) in line with the IDEA regulations regarding this decision.

According to the IDEA, at 34 CRF §300.503, prior written notice must include:

  • A description of what the school is proposing or refusing to do;
  • An explanation of why the school proposes or refuses this action;
  • A description of any other options the school considered and the reasons why those options were rejected;
  • A description of each evaluation procedure, test, record, or report the school used as a basis for this decision;
  • A description of any other relevant factors that went into this decision;
  • Information on how I can obtain a copy of procedural safeguards and an explanation available to me, and
  • Information on sources I can contact for help in understanding IDEA’s regulations.

Please send me a copy of the PWN on this decision. Thank you for your attention to this matter.




(Parent/Guardian Name)


cc: (your child’s teacher) and (other staff if applicable)


Sample Letters


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