
Date: _______________
From: [Name of Designated Official]
To: [Name of Parent(s)]
Your request for amendment of the education
record of your child, [student's name] was received and reviewed.
| _____ | The request was approved and necessary changes are made to the specified record as requested. |
| _____ | The request was denied because ___________________________________. |
| However, you are entitled to a hearing concerning your request. If you decide to request a hearing, please notify the following office within [number of days as specified by state or local policies]: |
[Name of the contact person]
[Address and telephone number]
Signature: _______________________________
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For questions about the content of this product, please contact
Lee
M. Hoffman.