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:12/1/2022 12:00:00 AM
                The Individualized Education Program (IEP)), Nepali Version, is a plan that identify services and supports for preschool age children and their families involved in Early Intervention. The IEP considers the strengths of the child and concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
                
                Age:Preschool
                Language:Nepali
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2022 12:00:00 AM
                The Individualized Education Program (IEP)), Portuguese Version, is a plan that identify services and supports for preschool age children and their families involved in Early Intervention. The IEP considers the strengths of the child and concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
                
                Age:Preschool
                Language:Portuguese
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2022 12:00:00 AM
                The Individualized Education Program (IEP)), Russian Version, is a plan that identify services and supports for preschool age children and their families involved in Early Intervention. The IEP considers the strengths of the child and concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
                
                Age:Preschool
                Language:Russian
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2022 12:00:00 AM
                The Individualized Education Program (IEP)), Spanish Version, is a plan that identify services and supports for preschool age children and their families involved in Early Intervention. The IEP considers the strengths of the child and concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
                
                Age:Preschool
                Language:Spanish
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2020 8:04:21 AM
                
                
                Age:School Age
                Language:Bengali
             
         
            
                
               
            
            
                
                
                    Effective Date:7/1/2025 8:51:30 AM
                Revised IEP July 2025 – This revised form (with footer date of July 2025), includes changes to section IV of the IEP (the grade level of administration of the science PSSA and PASA changed from grade 4 to grade 5).
                
                Age:School Age
                Language:English
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2020 12:00:00 AM
                Revised IEP February 1, 2020 – This revised form (with footer February 1, 2020) provides changes to section IV (the elimination of required video recording and narrative notes for students taking the PASA) per the PENN*LINK issued December 16, 2019.
                
                Age:School Age
                Language:Indonesian
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2020 8:46:47 AM
                Revised IEP February 1, 2020 – This revised form (with footer February 1, 2020) provides changes to section IV (the elimination of required video recording and narrative notes for students taking the PASA) per the PENN*LINK issued December 16, 2019.
                
                Age:School Age
                Language:Portuguese
             
         
            
                
               
            
            
                
                
                    Effective Date:12/16/2019 10:56:57 AM
                Revised IEP February 1, 2020 – This revised form (with footer February 1, 2020) provides changes to section IV (the elimination of required video recording and narrative notes for students taking the PASA) per the PENN*LINK issued December 16, 2019.
                
                Age:School Age
                Language:Swahili
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2020 7:49:58 AM
                个别化教育计划(IEP)Revised IEP February 1, 2020 – This revised form (with footer February 1, 2020) provides changes to section IV (the elimination of required video recording and narrative notes for students taking the PASA) per the PENN*LINK issued December 16, 2019.
                
                Age:School Age
                Language:Chinese