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: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:12/1/2016 11:00:00 PM
Evaluation Report (Annotated)—School Age
Este documento con acotaciones describe el contenido del Informe de Evaluación, el cual se llena para documentar el proceso en el cual un equipo de evaluación, definido en las regulaciones federales y estatales como un grupo de profesionales calificados, así como y el/los padre(s) del alumno, determinan si el alumno sufre de una discapacidad y tiene necesidad de los servicios de educación especial. Este formulario se utiliza únicamente cuando se hace una evaluación a un alumno que todavía no es identificado como estudiante en edad escolar para recibir educación especial.
Age:School Age
Language:Spanish
Effective Date:2/1/2014 9:30:01 AM
INTENTO DE INSCRIBIRSE - ELEGIBLE PARA EL PRIMER GRADO (EDAD DE PRINCIPIANTES) Description: Spanish version of the Intent to Register for first grade eligible children - The Preschool Early Intervention 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:School Age,Preschool
Language:Spanish
Effective Date:2/1/2014 12:00:00 AM
This Arabic 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:Preschool,School Age
Language:Arabic
Effective Date:2/1/2014 12:00:00 AM
This Chinese 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:Preschool,School Age
Language:Chinese
Effective Date:2/1/2014 12:00:00 AM
This French 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:French
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 1:00:00 AM
This form is effective beginning March 2014. The Preschool Early Intervention 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:School Age,Preschool
Language:English