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:6/30/2008 2:14:08 PM
KONSANTMAN PARAN POU DISPANSE PATISIPASYON MANM NAN REYINYON EKIP PWOGRAM EDIKASYON ENDIVIDYÈL (IEP) A
Age:School Age
Language:Haitian Creole
Effective Date:6/30/2008 11:00:00 PM
This form, effective beginning July 1, 2008, is to be used when the Local Education Agency (LEA) seeks to obtain consent from the parent to excuse required members of the IEP team from attending an IEP team meeting.
Age:School Age
Language:English
Effective Date:10/8/2008 11:00:00 PM
This annotated document describes the contents of the Parental Consent To Excuse Members from Attending the IEP Team Meeting form, which is used by the LEA to obtain consent from the parent to excuse required members of the IEP team from attending an IEP team meeting.
Age:School Age
Language:English
Effective Date:6/8/2021 12:48:42 PM
This form is effective beginning June 8, 2021. This document must be issued by the Local Education Agency in response to a parent's oral request for an evaluation within 10 calendar days of the oral request.
Age:School Age
Language:English
Effective Date:7/1/2008 11:00:00 PM
COMMUNICATION PLAN - School Age
Il Piano di Comunicazione deve essere incluso nell'IEP per ogni studente che è sordo o con problemi dell’udito. Il modulo del Piano di Comunicazione è stato controllato a dicembre 2010. A quel tempo addizioni vennero fatte alle sezioni I e III del Piano per includere i bisogni di comunicazione e i dispositivi tecnologici e i servizi necessari per gli studenti che sono sordi. Il Piano rivisto ha un piè di pagina che legge dicembre 2010. Disponibile la Versione annotata.
Age:School Age
Language:Italian
Effective Date:7/2/2008 12:00:00 AM
COMMUNICATION PLAN - School Age
El Plan de Comunicación debe ser incluido en el Programa de Educación Individualizada (IEP) de cualquier alumno que sea sordo o tenga problemas auditivos. El formulario del Plan de Comunicación fue revisado en diciembre de 2010. En ese entonces se hicieron adiciones en las Secciones I y III del plan con el fin de incluir las necesidades de comunicación y los dispositivos y servicios de tecnología auxiliar para los alumnos con sordoceguera. El plan revisado tiene un pie de página que dice Diciembre de 2010. Versión con acotaciones disponible
Age:School Age
Language:Spanish
Effective Date:6/29/2015 11:00:00 PM
INVITATION TO PARTICIPATE IN THE IEP TEAM MEETING OR OTHER MEETING - School Age
Revidirano u svibnju 2015. - Ovaj novi poziv za sudjelovanje na sastanku tima IEP ili drugom sastanku (s podnožjem uz naznaku “Revizije iz svibnja 2015”.) zamjenjuje trenutačni poziv. Ovaj revidirani obrazac dodaje dopunske svrhe za sastanak tima IEP, uklanja zahtjev za upotrebom dva odvojena obrasca poziva za sudjelovanje na sastanku tima IEP ili drugom sastanku za tranzicijsko planiranje/usluge i dopunjuje objašnjenja za tranzicijsko planiranje i usluge, uključujući izjavu da će lokalna agencija za obrazovanje (LEA) pozvati učenika, ako je dobi 14 godina ili stariji. Ovaj obrazac stupa na snagu od 30. lipnja 2015. Dostupna je objavljena verzija
Age:School Age
Language:Croatian
Effective Date:10/31/2015 11:00:00 PM
Preschool to School Age Transition Considerations for Children who are Deaf, Hard of Hearing or Deaf-Blind
Age:School Age
Language:English
Effective Date:11/1/2023 12:00:00 AM
The Prior Written Notice for a Reevaluation and Request for Consent form has been separated into two forms, the Prior Written Notice for a Reevaluation form and the Request for Consent for a Reevaluation form. The form was separated into two forms to ensure LEAs provide parents with prior written notice and obtain parent consent at proper times during the reevaluation process in accordance with 34 CFR 300.300 and 300.503.
Age:School Age
Language:English
Effective Date:11/1/2023 12:00:00 AM
The Prior Written Notice for a Reevaluation and Request for Consent form has been separated into two forms, the Prior Written Notice for a Reevaluation form and the Request for Consent for a Reevaluation form. The form was separated into two forms to ensure LEAs provide parents with prior written notice and obtain parent consent at proper times during the reevaluation process in accordance with 34 CFR 300.300 and 300.503.
Age:School Age
Language:English