This site includes forms designed by the Pennsylvania Department of Education to ensure that students with disabilities receive a free, appropriate, public education. Forms are available for the Infant-Toddler/Early Intervention, Preschool/Early Intervention, and School-age programs, and include both annotated and non-annotated versions. Forms are available as Word and pdf documents.Currently viewing results 1-10 of 17
This annotated document describes the contents of the Agreement to Waive Reevaluation form, which is used by the LEA to obtain agreement from the parent to waive a child’s reevaluation.
The primary purpose of the Communication Plan is to establish discussion among all IEP team members who review the student’s needs based on communication skills and access. The Communication Plan should be the starting point for the IEP, and the results of this discussion should be used to identify the student’s present educational levels as well as to complete other sections of the IEP. The Annotated Communication Plan was revised in December 2010. Changes have been made to the following areas: annotation added for Section I, question 5; to Section III concerning the definition of qualified interpreters, and to the glossary to include definitions of qualified interpreters and communication modes and assistive technology devices and services for students who are deafblind. The revised version has December 2010 in the footer.
This annotated document describes the contents of the Evaluation Report, which is completed to document the process in which an evaluation team, defined in Federal and State regulations as a group of qualified professionals and the parent of the student, determine if the student is a student with a disability and in need of special education services. This form is used only when evaluating a student who is not yet identified as a school age special education student.
Revised Annotated IEP April 2014 – This revised annotated form (with footer April 2014) clarifies state directives related to state assessment administration requirements and are reflected in Section IV, PARTICIPATION IN STATE AND LOCAL ASSESSMENTS, of the IEP. The changes to the IEP clarify the requirement of the Pennsylvania Keystone Exams to serve as the 11th grade Pennsylvania accountability measure for all students with IEPs, except those who are eligible to participate in the alternate assessment.
Revised Annotated IEP December 2013 – This revised annotated form (with footer December 2013) contains revisions to Section IV of the IEP, Participation in State and Local Assessments. The revised form provides fields for the IEP team to document a student’s participation in the Keystone Project Based Assessment, a Validated Local Assessment, the Assessing Comprehension and Communication in English State-to-State for English Language Learners (ACCESS), or the Alternate ACCESS.
This form is effective beginning March 2014. The Preschool Early Intervention program is to provide this form to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school. This annotated form offers assistance and guidance to parents and early intervention providers. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
This revised annotated form describes the new Invitation to Participate in the IEP Team Meeting or Other Meeting(with footer indicating “May 2015 Revisions”), which adds supplementary purposes for an IEP team meeting, removes the requirement to use two separate Invitation to Participate in the IEP Team Meeting or Other Meeting forms for transition planning/services, and supplements the explanations for transition planning and services, including a statement that the local education agency (LEA) will invite the student, if age 14 or above. This form is effective beginning June 30, 2015.
The recent supplemental regulations to 34 CFR Part 300, effective December 31, 2008, require that Local Education Agencies provide parents with prior written notice upon parental revocation of consent for the continued provision of special education and related services. This annotated form, revised December 31, 2008, describes how to use the current NOREP/PWN to provide this notice to the parents.
his form is effective beginning March 2014. The Preschool Early Intervention program is responsible for sending this form on or before February 1st to the parents of all children approaching the age of kindergarten or 1st grade. This annotated form offers assistance and guidance to parents and early intervention providers. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
This annotated NOREP/PWN form provides explanation for the document that LEAs may choose to communicate to parents the recommended educational program for their child and other actions taken by the LEA. This revised annotated NOREP/PWN includes additional resources for parents on page 6. The revised form contains the footer “October 2014.”