This page presents a model letter or email you might write the school to ask that your child be evaluated to see if he or she has a disability. The assessment process determines whether a child is eligible for special education services and if so, which services are the most appropriate.My child has not been doing well in school and I believe. May need special education services. This template is written for initial requests for special education assessments. But, you can edit the form as-needed. CHAPTER 1 -- IDENTIFICATION, REFERRAL AND ASSESSMENT. Below is a sample letter to request an evaluation for special education. ESD offers high quality education to students in 13 elementary schools and 3 middle schools. Washington State requires special education referrals to be in writing (WAC 392-172A-03005).