30.F04 Sample Form Letter Text (pdf)
This text may be individualized for each child and family.
Sample 1 (Over Age Three):
Dear _________ :
As we discussed, (child's name), is not eligible for Early Intervention because he/she is over the age of three. Your local school district will be able to assist you in determining whether (child's name) is eligible for developmental or educational
services through the school. (LEA contact), (Title/Position) works for the school district and can assist you in the screening process. He/She can be reached at (phone number).
Sincerely,
Sample 2 (Not an Illinois Resident):
Dear _________:
As we discussed, (child's name) is not eligible for Early Intervention because he/she does not live in Illinois. The Early Intervention system in (state of residence) will be able to assist you in determining whether (child's name) is eligible for
early intervention services in (state of residence). (Early Intervention Coordinator in state of residence) is the Early Intervention system coordinator in (state of residence). He/she can be reached at (phone number).
Sincerely,
Updated: (06/07)
