Sample Letter #4 - How to Request an Impartial Hearing
| (Insert date) Bradley Hutton, MPH Director, Bureau of Early Intervention NYS Department of Health Corning Tower Building, Room 287 Empire State Plaza Albany, New York 12237 |
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| Dear Mr. Hutton: |
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| I would like to request an impartial hearing for my child, (child's name), regarding early intervention services. I am having a problem with (state the problem). The best time to reach me to arrange for a reasonably convenient time, place, and date for the hearing is on (insert days and times). |
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| Sincerely, |
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| (Insert Name) (Street Address) (City/State/Zip Code) (County) (Area Code/Phone #) |
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