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:12/1/2022 1:27:47 PM
The Individualized Education Program (IEP)) 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:Japanese
Effective Date:10/28/2024 12:00:00 AM
The IEP is a plan that identify services and supports for preschool age children and families involved in Early Intervention. The IEP considers 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:Preschool
Language:English
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
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
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
Effective Date:2/1/2014 12:00:00 AM
This Nepali version of the form is to be provided to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:School Age,Preschool
Language:Nepali
Effective Date:2/1/2014 12:00:00 AM
This Portuguese version of the form is to be provided to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:School Age,Preschool
Language:Portuguese
Effective Date:2/1/2014 12:00:00 AM
This Russian version of the form is to be provided to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:School Age,Preschool
Language:Russian
Effective Date:2/1/2014 12:00:00 AM
Intent to register- First grade eligible, Swahili version, the preschool EI program is to provide this form to the parent at the transition meeting ( that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:Preschool,School Age
Language:Swahili
Effective Date:2/1/2014 12:00:00 AM
Intent to register- First grade eligible, Malayalam version, the preschool EI program is to provide this form to the parent at the transition meeting ( that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:Preschool,School Age
Language:Malayalam