Your Address
Your Phone Number
Date:
Principal’s Name
Name of Your Child’s School
School Address
Dear Principal:
I am the parent of ____________________________.
My child is being bullied and/or harassed in school (Explain what is happening to your child in
detail, including who was involved, what happened and when and where it happened, how many
times it has happened, any physical injuries and if applicable, who witnessed the incident.)
This bullying and/or harassment is affecting my child in the area of (list whether the harassment
and/or bullying is causing your child’s grades to slip, is causing your child to miss school, is
causing your child to need counseling, etc.).
I want this bullying and/or harassment to end. My proposed solution to this problem is (here are
some examples of solutions you can request from the school: bullying/violence prevention
programs, school therapists, guidance counselors, training of school personnel, etc.)
If your child is a special education student you should request an IEP meeting. If your
child receives a 504 plan or service agreement you should request a 504 plan or service
agreement meeting. If your child has a disability and does not have an IEP or a 504 plan
or service agreement you should request a meeting. (This request for a meeting will enable
you to tell the school what is happening)
I appreciate your assistance in this matter. Kindly respond to the concerns listed above in
writing.
Sincerely,
Your Name
cc: Superintendent
KEEP A COPY OF THIS LETTER FOR YOUR FILE.