APPENDIX T

Request for Regional Center Communications in
My Primary Language

 

Date

Your Service Coordinator’s Name

Your Regional Center

The Address of Your Regional Center

 

Dear (Your Service Coordinator’s name):

My name is _______________________. I am the client or I am the parent of a client (circle one) of the regional center. I do not understand English. I understand ________________________________ (put the language that you understand on this line).

Please send any Notices of Action to me in the language that I understand, as required by law.[1] If I appeal, also send me information about the mediation and hearing process in the language that I understand as required by law.[2]

I ask that my IPP and any letters you send me also be in a language that I understand. When an IPP meeting is scheduled, please have someone at the meeting who can interpret for me.

Please place this letter in my file for your reference. If you have any question, you can contact me at this phone number _________________ with an interpreter whom I will understand. Thank you.

Sincerely,

(Your signature)

Print your name here _____________________________

Print your address here _______________________________________________

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