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.

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Service Coordination Checklist for Providing Information to Families about Medical Assistance

Effective Date:9/14/2020 7:25:55 AM

This document provides guidance to Infant Toddler Early Intervention Service Coordinators on discussing enrollment in Pennsylvania’s Medical Assistance program with families.

Age:Infant/Toddler

Language:English

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