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:4/1/2025 12:00:00 AM
The Infant Toddler Early Intervention Procedural Safeguards form includes a full explanation of the rights available to parents of an infant or toddler who has been referred to or is receiving Early Intervention Services. This form outlines the important topics such as parental consent, access to records, confidentiality, and dispute resolution options.
Age:Infant/Toddler
Language:Haitian Creole
Effective Date:4/1/2025 12:00:00 AM
The Infant Toddler Early Intervention Procedural Safeguards form includes a full explanation of the rights available to parents of an infant or toddler who has been referred to or is receiving Early Intervention Services. This form outlines the important topics such as parental consent, access to records, confidentiality, and dispute resolution options.
Age:Infant/Toddler
Language:
Effective Date:4/1/2025 12:00:00 AM
The Infant Toddler Early Intervention Procedural Safeguards form includes a full explanation of the rights available to parents of an infant or toddler who has been referred to or is receiving Early Intervention Services. This form outlines the important topics such as parental consent, access to records, confidentiality, and dispute resolution options.
Age:Infant/Toddler
Language:Spanish
Effective Date:11/16/2022 12:00:00 AM
The Infant Toddler Evaluation Report , Ukrainian Version, documents information on a child and family, including strengths and needs, provides eligibility determinations, and provides recommendations for supports that can assist the young child to develop, learn and grow.
Age:Infant/Toddler
Language:Ukranian
Effective Date:12/1/2018 11:30:05 AM
The Infant Toddler Tracking Plan is used by local Infant Toddler Early Intervention programs to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:English
Effective Date:12/1/2022 1:23:08 PM
The Infant Toddler Tracking Plan used by local Infant Toddler Early Intervention programs is used to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Haitian Creole
Effective Date:12/1/2018 11:33:59 AM
The annotated version of the Infant Toddler Tracking plan provides guidance to staff completing the plan used identifying the supports provided to children and families involved in PA’s Early Intervention tracking program. It is not intended as an exclusive manner for complying with state and/or federal Early Intervention statutes and regulations.
Age:Infant/Toddler
Language:English
Effective Date:12/1/2018 11:36:24 AM
The Spanish version of the Infant Toddler Tracking plan is used by local Infant Toddler Early Intervention programs to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Spanish
Effective Date:12/1/2018 12:00:00 AM
The Infant Toddler Tracking Plan, Arabic version, is used by local Infant Toddler Early Intervention programs to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Arabic
Effective Date:12/1/2018 12:00:00 AM
The Infant Toddler Tracking Plan, Chinese version, is used by local Infant Toddler Early Intervention programs to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Chinese