Prior Written Notice Letter for Part C

Creation date: 1/6/2026 2:50 PM    Updated: 1/6/2026 2:50 PM

During training in the fall of 2025, we were asked about the guidance document for the PWN for Part C.

  • From ESU4 - Prior written notice Part C changes - Similar to Notice of Meeting Part C - PriorWrittenNoticeGuidanceDoc.pdf

  • The SRS Advisory team offered the following samples in place of one individual form to be added to SRS.

  • Samples from ESU 10:

PRIOR WRITTEN NOTICE LETTER: When to use what form or letter

PART C

If:

Then:

Referral to EDN and parents would like to move forward with evaluation 

Use the form titled: 

Notice of Initial Eval and Child Assessment

Child is found not eligible

District must send letter meeting requirements of Part C Prior Written Notice

Example of Letter

Discontinuing services at parent request

District must send letter meeting requirements of Part C PWN

Example of Letter

Child graduates from program 

Example of Letter

Parents do not respond after multiple attempts

Example of Letter

Child is eligible, parents decline services

Example of Letter

Specific service time isn’t being met

Example of Letter