Forms
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.
Bureau of Special Education Complaint Form
Access the State Complaint Form on PDE's State Complaints and Dispute Resolution page.
State Complaint Forms in other languages are also available on the State Complaints and Dispute Resolution page.
Complaint Resolution Procedures
If you need more information about the complaint process or if you are unable to print the packet and would like to receive a complaint form by mail, please contact the Special Educaton ConsultLine at 1-800-879-2301, ConsultLine@odr-pa.org or submit an online request.
Effective Date:5/1/2016 12:00:00 AM
This publication is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:School Age
Language:Nepali
Effective Date:5/1/2016 12:00:00 AM
This publication is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:School Age
Language:Portuguese
Effective Date:5/1/2016 12:00:00 AM
This publication is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:School Age
Language:Russian
Effective Date:5/1/2016 12:00:00 AM
This publication is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:School Age
Language:Spanish
Effective Date:7/1/2018 8:41:03 AM
This revised Procedural Safeguards Letter (with a footer indicating “July 2018 Revisions”) replaces the current Procedural Safeguards Letter dated July 1, 2008. This revised letter includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapter 14 to the Individuals with Disabilities Education Act (IDEA) regulatory revisions resulting from Rosa’s Law. There are no other changes to the current regulations in Chapter 14 or 711.
Age:School Age
Language:English
Effective Date:11/30/2014 11:00:00 PM
Letter to a parent on their rights and their child’s rights related to early intervention services Khmer version.
Age:Preschool
Language:Khmer
Effective Date:11/30/2014 11:00:00 PM
Letter to a parent on their rights and their child’s rights related to early intervention services Russian version.
Age:Preschool
Language:Russian
Effective Date:7/1/2018 12:28:12 PM
કાર્યપદ્ધતિની સલામતીઓનો પત્ર This revised Procedural Safeguards Letter (with a footer indicating “July 2018 Revisions”) replaces the current Procedural Safeguards Letter dated July 1, 2008. This revised letter includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapter 14 to the Individuals with Disabilities Education Act (IDEA) regulatory revisions resulting from Rosa’s Law. There are no other changes to the current regulations in Chapter 14 or 711.
Age:School Age
Language:Gujarati
Effective Date:7/1/2018 3:17:48 PM
LÈT GARANTI SOU PWOSEDI YO
Age:School Age
Language:Haitian Creole
Effective Date:7/1/2018 9:37:46 AM
מכתב אמצעי ביטחון פרוצדורליים This revised Procedural Safeguards Letter (with a footer indicating “July 2018 Revisions”) replaces the current Procedural Safeguards Letter dated July 1, 2008. This revised letter includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapter 14 to the Individuals with Disabilities Education Act (IDEA) regulatory revisions resulting from Rosa’s Law. There are no other changes to the current regulations in Chapter 14 or 711.
Age:School Age
Language:Hebrew