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 and State Complaint Resolution Procedures on PDE’s Special Education Dispute Resolution page. This webpage also contains the State Complaint Form translated into other languages.
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.
IEP in Braille
Download the Nemeth format ⏷
Download the UEB format ⏷
Effective Date:3/1/2014 12:00:00 AM
This Arabic version of the form is for use by the Preschool Early Intervention program who 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.
Age:Preschool
Language:Arabic
Effective Date:3/1/2014 12:00:00 AM
This Chinse version of the form is for use by the Preschool Early Intervention program who 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.
Age:Preschool
Language:Chinese
Effective Date:3/1/2014 12:00:00 AM
This French version of the form is for use by the Preschool Early Intervention program who 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.
Age:Preschool
Language:French
Effective Date:3/1/2014 12:00:00 AM
This Nepali version of the form is for use by the Preschool Early Intervention program who 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.
Age:Preschool
Language:Nepali
Effective Date:3/1/2014 12:00:00 AM
This Portuguese version of the form is for use by the Preschool Early Intervention program who 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.
Age:Preschool
Language:Portuguese
Effective Date:3/1/2014 12:00:00 AM
This Russian version of the form is for use by the Preschool Early Intervention program who 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.
Age:Preschool
Language:Russian
Effective Date:1/1/0001 12:00:00 AM
Transition from Preschool Early Intervention to School Age Program – The Preschool Early Intervention program should include this form as an attachment to the Notice Of Your Child’s Transition to School Age Meeting. 10/2009
Age:
Language:English
Effective Date:1/1/0001 12:00:00 AM
This 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.
Age:
Language:English
Effective Date:
AVISO DE OPCIONES PARA LA TRANSICION DE SU HIJO Spanish version of Transition from Preschool Early Intervention to School Age Program – The Preschool Early Intervention program should include this form as an attachment to the Notice Of Your Child’s Transition to School Age Meeting.
Age:
Language:Spanish
Effective Date:10/20/2014 12:00:00 AM
Age:School Age
Language:Bengali