[Parents Full Name]

[Address]
[City, State, Zip code]
[E-mail Address]
[Phone Number]
[Date]
[FERPA Compliance Officers Name]
FERPA Compliance Officer
[Address]
[City, State, Zip code]
In re: Request to Examine Educational Records of [Childs Full Name], [Date of Birth], [School
Name], [Grade]
Dear [FERPA Compliance Officers Name];
Pursuant to the Family Education Rights Privacy Act (or the Buckley Amendment), and the
Individuals with Disabilities Education Act (IDEA), I am formally requesting to examine
[Childs Name]s educational records.
This request includes, but is by no means limited to, any and all of the education records in
[his/her] confidential, cumulative, and compliance files including any transmittal and/or access
logs, in whatever media they are maintained and wherever such records and/or files are situated.
It is my understanding that the school district may charge me a nominal copying fee for each
page reproduced, and I will send you payment immediately upon receipt of your letter informing
me the total due for the copying service. Your timely cooperation is greatly appreciated.
Thank you,

[Parents Full Name]

[If you are sending this letter to other individuals, list their names and titles (if they have one) as
in the example below]
pc:
School Principal
Childs Teacher
Medical Professional
Advocate