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 11:00:00 PM
PARENTAL CONSENT TO EXCUSE MEMBERS FROM ATTENDING THE IEP TEAM MEETING - School Age
본 양식은 2008년 1월 1일부터 유효하며 개정된 14조 및 711조의 새로운 조항을 반영합니다. 개정된 초청장("2008년 7월 개정"이라는 바닥글 추가)은 현재 초청장을 대체합니다. 본 초청장부터는 IEP 팀 모임 참석 면제에 관한 학부모 동의 요청서를 포함하지 않습니다. 본 요청은 지금부터, "IEP 팀 모임 참석 면제에 관한 학부모 동의서"라는 별도의 양식으로 이루어집니다. 해설판 이용 가능
Age:School Age
Language:Korean
Effective Date:6/30/2008 11:00:00 PM
PARENTAL CONSENT TO EXCUSE MEMBERS FROM ATTENDING THE IEP TEAM MEETING - School Age
このフォームは2008年7月1日から有効で、改訂されたチャプター14と711の新しい条項に反映されます。この新しい案内状（フッタに2008年7月改訂とある）は現在の案内状に代わります。。この案内状はIEPチームミーティングへの参加からIEPのチームメンバーを免除する親の承諾のリクエストをこれ以上含みません。このリクエストは現在別のフォーム「IEP チームミーティングへの参加からメンバーを免除する親の承諾」によって行われます。
Age:School Age
Language:Japanese
Effective Date:6/29/2015 11:00:00 PM
INVITATION TO PARTICIPATE IN THE IEP TEAM MEETING OR OTHER MEETING - School Age
2015年3月改訂—新しいIEPチームミーティングまたは他のミーティング参加への案内状（2015年3月改訂とフッタにある）は現行の案内状と代わります。この改訂されたフォームはIEPチームミーティングの補助的な目的を加えています。またIEPチームミーティングまたは他のミーティング参加への案内状のフォームを2つに分け使用する必要事項を取り除いています。そして、移行プランとサービスの説明を補足しています。生徒が14歳以上である場合、地域の教育機関(LEA)がその生徒を招待する旨を含みます。このフォームは2015年6月30日より有効となります。
Age:School Age
Language:Japanese
Effective Date:2/1/2020 8:04:21 AM
Age:School Age
Language:Bengali
Effective Date:2/1/2020 2:47:42 PM
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:English
Effective Date:2/1/2020 12:00:00 AM
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:Indonesian
Effective Date:2/1/2020 8:46:47 AM
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:Portuguese
Effective Date:12/16/2019 10:56:57 AM
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:Swahili
Effective Date:2/1/2020 7:49:58 AM
个别化教育计划（IEP）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:Chinese
Effective Date:2/1/2020 11:20:58 AM
PROGRAMME D’ENSEIGNEMENT INDIVIDUALISÉ (PEI) 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:French