Subject: Written request for special education evaluation for [student]

I am requesting a comprehensive evaluation under IDEA because I suspect [student] may have a disability and may need special education and related services.

Areas of concern include: [learning/communication/attention/behavior/sensory/motor/social-emotional/other].

Examples of educational impact: [detail].

Please treat this as a formal written request, tell me the consent process and applicable state timeline, and provide Prior Written Notice if the district refuses to evaluate.