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:11/17/2014 12:00:00 AM
NOTICE OF RECOMMENDED EDUCATIONAL PLACEMENT/PRIOR WRITTEN NOTICE (NOREP/PWN) - School Age
Este formulario de NOREP/PWN proporciona un formato que las agencias educativas locales (LEAs) pueden decidir comunicar a los padres el programa educativo recomendado para su hijo y otras acciones tomadas por la LEA. Esta NOREP/PWN revisada incluye recursos adicionales para los padres en la página 4. El formulario revisado contiene el pie de página “octubre de 2014”. Versión con acotaciones disponible
Age:School Age
Language:Spanish
Effective Date:10/20/2014 12:00:00 AM
Notice of Recommended Educational Placement/Prior Written Notice in Hebrew
Age:School Age
Language:Hebrew
Effective Date:12/1/2023 10:48:50 AM
This form summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age:Preschool
Language:English
Effective Date:10/20/2014 10:14:29 AM
Effective Date:10/20/2014 9:28:07 AM
Notice Of Recommended Educational Placement (NOREP) - School Age
Age:School Age
Language:Indonesian
Effective Date:3/17/2014 2:14:15 PM
This form summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age:Preschool
Language:Albanian
Effective Date:12/1/2023 12:00:00 AM
This form translated into Chinese summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age:Preschool
Language:Chinese
Effective Date:12/1/2023 12:00:00 AM
This form translated into French summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age:Preschool
Language:French
Effective Date:12/1/2023 12:00:00 AM
This form translated into Nepali summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age:Preschool
Language:Nepali
Effective Date:12/1/2023 12:00:00 AM
This form translated into Portuguese summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age:Preschool
Language:Portuguese
Effective Date:12/1/2023 12:00:00 AM
This form translated into Russian summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age:Preschool
Language:Russian