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:2/1/2020 11:27:25 AM
PROGRAM NAUCZANIA SPECJALNEGO - 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:Polish
Effective Date:2/1/2020 11:30:06 AM
ИНДИВИДУАЛИЗИРОВАННАЯ ПРОГРАММА ОБУЧЕНИЯ (IEP) 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:Russian
Effective Date:2/1/2020 12:00:00 AM
EGYÉNI OKTATÁSI-NEVELÉSI PROGRAM (IEP) Revised IEP February 2020 – Section IV of the IEP, State and Local Assessments, has been revised to reflect changes concerning the PSSA-M and Keystone Exams. The PSSA-Modified is no longer offered as a state assessment and has been removed from the IEP. The 11th grade PSSA is no longer offered as a measure of adequate yearly progress under No Child Left Behind and has been removed from the IEP. The Algebra I, Literature and Biology Keystone Exams will replace the 11th grade PSSA as a measure of adequate yearly progress beginning the 2012-13 school year. English Language Arts has been added to the IEP and will replace the PSSA reading and writing assessments. This revised section of the IEP may be phased in but must be fully implemented by April 30, 2013. Please refer to the Penn*Link dated October 1, 2012 for additional information.
Age:School Age
Language:Hungarian
Effective Date:2/1/2020 11:31:40 AM
PROGRAMA DE EDUCACIÓN INDIVIDUALIZADA (IEP) 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:Spanish
Effective Date:2/1/2020 11:30:38 AM
ІНДИВІДУАЛІЗОВАНА ОСВІТНЯ ПРОГРАММА (ІОП) 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:Ukranian
Effective Date:2/1/2020 11:31:10 AM
CHƯƠNG TRÌNH GIÁO DỤC CÁ NHÂN HOÁ (IEP) 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:Vietnamese
Effective Date:2/1/2020 8:51:43 AM
Age:School Age
Language:Arabic
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
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
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