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:2/1/2020 11:31:10 AM
CHƯƠNG TRÌNH GIÁO DỤC CÁ NHÂN HOÁ (IEP) 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:Vietnamese
Effective Date:2/1/2020 8:51:43 AM
Age:School Age
Language:Arabic
Effective Date:2/1/2020 8:35:41 AM
גיל בית ספר 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:Hebrew
Effective Date:7/1/2014 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:Urdu
Effective Date:2/1/2020 12:00:00 AM
व्यक्तिगिकरण गरिएको शिक्षा कार्यक्रम (IEP) - विद्यालय जाने उमेर
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
Age:School Age
Language:Nepali
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