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.

Results 91-100 of 491
Individualized Education Program (IEP) (Hebrew) cover image

Individualized Education Program (IEP) (Hebrew)

Effective Date:2/1/2020 8:35:41 AM
גיל בית ספר 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:Hebrew
Individualized Education Program (IEP) Form BLANK: Farsi cover image

Individualized Education Program (IEP) Form BLANK: Farsi

Effective Date:12/1/2022 12:00:00 AM
The Individualized Education Program (IEP), Farsi 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:Farsi
Individualized Education Program (IEP) Form BLANK: Malayalam cover image

Individualized Education Program (IEP) Form BLANK: Malayalam

Effective Date:12/1/2022 12:00:00 AM
The Individualized Education Program (IEP), Malayalam 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:Malayalam
Individualized Education Program (IEP) Form BLANK: Swahili cover image

Individualized Education Program (IEP) Form BLANK: Swahili

Effective Date:12/1/2022 12:00:00 AM
The Individualized Education Program (IEP), Swahili 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:Swahili
Individualized Education Program 2020 (Nepali) cover image

Individualized Education Program 2020 (Nepali)

Effective Date:2/1/2020 12:00:00 AM
व्यक्तिगिकरण गरिएको शिक्षा कार्यक्रम (IEP) ‍- विद्यालय जाने उमेर 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
Age:School Age
Language:Nepali
Individualized Family Service Plan – Early Intervention – Bengali Version cover image

Individualized Family Service Plan – Early Intervention – Bengali Version

Effective Date:12/1/2022 12:00:00 AM
The Individualized Family Service Plan (IFSP), Bengali Version, is a plan that identify services and supports for infants and toddlers and their families involved in Early Intervention. The IFSP 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:Infant/Toddler
Language:Bengali
Individualized Family Service Plan (IFSP) - Early Intervention cover image

Individualized Family Service Plan (IFSP) - Early Intervention

Effective Date:12/1/2022 2:32:42 PM
The Individualized Family Service Plan (IFSP) is a plan that identify services and supports for infants and toddlers and their families involved in Early Intervention. The IFSP 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:Infant/Toddler
Language:English
Individualized Family Service Plan (IFSP) – Early Intervention - Japanese Version cover image

Individualized Family Service Plan (IFSP) – Early Intervention - Japanese Version

Effective Date:12/1/2022 1:25:27 PM
Individualized Family Service Plan (IFSP) is a plan that identify services and supports for infants and toddlers and their families involved in Early Intervention. The IFSP 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:Infant/Toddler
Language:Japanese
Individualized Family Service Plan (IFSP) - Early Intervention Annotated cover image

Individualized Family Service Plan (IFSP) - Early Intervention Annotated

Effective Date:10/28/2024 12:00:00 AM
The IFSP identifies services and supports for children and families involved in Early Intervention. The IFSP and IEP consider the strengths of the child; 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. This annotated form provides guidance to parents and early intervention staff completing the evaluation report. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
Age:Infant/Toddler
Language:English
Individualized Family Service Plan (IFSP)- Arabic Version cover image

Individualized Family Service Plan (IFSP)- Arabic Version

Effective Date:12/1/2022 12:00:00 AM
The IFSP, Arabic version, is a plan that identify services and supports for infants and toddlers and their families involved in Early Intervention. The IFSP 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:Infant/Toddler
Language:Arabic