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:11/30/2014 11:00:00 PM
Parent Rights Agreement form used by Early Intervention Infant/Toddler programs starting July 1, 2012. Nepali Version.
Age:Infant/Toddler
Language:Nepali
Effective Date:5/16/2018 12:00:00 AM
Ukrainian version of the Parent Rights Agreement. This form summarizes the parent and child’s rights during the Early Intervention process.
Age:Infant/Toddler
Language:Ukranian
Effective Date:1/31/2018 11:00:00 PM
Vietnamese Parent Rights Agreement form used by Early Intervention Infant/Toddler programs starting July 1, 2012.
Age:Infant/Toddler
Language:Vietnamese
Effective Date:5/16/2018 9:58:21 AM
This is the Arabic version of the form that summarizes the parent and child’s rights during the Early Intervention process.
Age:Infant/Toddler
Language:Arabic
Effective Date:5/16/2018 9:11:38 AM
This is the Nepali version of the form that summarizes the parent and child’s rights during the Early Intervention process.
Age:Infant/Toddler
Language:Nepali
Effective Date:5/16/2018 9:54:39 AM
This is the Portuguese version of the form that summarizes the parent and child’s rights during the Early Intervention process.
Age:Infant/Toddler
Language:Portuguese
Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. This form is used along with an Invitation to Participate in an IEP Meeting if there are team members who are invited to attend but the program would like to excuse their participation.
Age:Preschool
Language:English
Effective Date:1/1/0001 12:00:00 AM
Arabic Version of the Preschool Early Intervention Parental Consent to Excuse Members from Attending the IEP Team Meeting form.
Age:Preschool
Language:Arabic
Effective Date:1/1/2014 1:00:00 AM
This Chinese version of the form used along with an Invitation to Participate in an IEP Meeting if there are team members who are invited to attend but the program would like to excuse their participation.
Age:Preschool
Language:Chinese
Effective Date:2/1/2014 12:00:00 AM
This French version of the form used along with an Invitation to Participate in an IEP Meeting if there are team members who are invited to attend but the program would like to excuse their participation.
Age:Preschool
Language:French