Request for a Functional Behavior Assessment (FBA)
Date:
Dear IEP Case Manager/Special Education Teacher or Principal
Re: Request for FBA
I am requesting a Functional Behavioral Assessment (FBA) for my child.[Add child's full name]
I am concerned that my child’s behavior is interfering with their education. [Add more detail here, for example: they are not making progress on IEP goals or it is keeping them from spending more time in general education.]
I am also requesting an IEP team (or 504 team) meeting to discuss a plan for the FBA. [Make a note here if there are specific people you want to have at the meeting. For example: I would like the school psychologist or a district behavior specialist to attend the meeting.]
I can meet on: _______________[Add dates/times].
I look forward to your response.
Sincerely,
__________________________________
(Signature)