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.

Results 21-30 of 366
Notice Of Options For Your Child’s Transition - annotated cover image

Notice Of Options For Your Child’s Transition - annotated

Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. The Preschool Early Intervention program is responsible for sending this form on or before February 1st to the parents of all children approaching the age of kindergarten or 1st grade.
Age:
Language:English
PARENTAL CONSENT TO EXCUSE MEMBERS FROM ATTENDING THE IEP TEAM MEETING - Preschool Early Intervention  cover image

PARENTAL CONSENT TO EXCUSE MEMBERS FROM ATTENDING THE IEP TEAM MEETING - Preschool Early Intervention

Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. This form is used along with an Invitation to Participate in an IEP Meeting if there are team members who are invited to attend but the program would like to excuse their participation.
Age:Preschool
Language:English
Parental Consent to Excuse Members from Attending the IEP Team Meeting - Preschool Early Intervention - Arabic VERSION cover image

Parental Consent to Excuse Members from Attending the IEP Team Meeting - Preschool Early Intervention - Arabic VERSION

Effective Date:1/1/0001 12:00:00 AM
Arabic Version of the Preschool Early Intervention Parental Consent to Excuse Members from Attending the IEP Team Meeting form.
Age:Preschool
Language:Arabic
PARENTAL CONSENT TO EXCUSE MEMBERS FROM ATTENDING THE IEP TEAM MEETING - Preschool Early Intervention - Chinese VERSION cover image

PARENTAL CONSENT TO EXCUSE MEMBERS FROM ATTENDING THE IEP TEAM MEETING - Preschool Early Intervention - Chinese VERSION

Effective Date:1/1/0001 12:00:00 AM
Chinese Version of the Preschool Early Intervention Parental Consent to Excuse Members from Attending the IEP Team Meeting form.
Age:Preschool
Language:Chinese
Parental Consent to Excuse Members from Attending the IEP Team Meeting - Preschool Early Intervention - Russian VERSION cover image

Parental Consent to Excuse Members from Attending the IEP Team Meeting - Preschool Early Intervention - Russian VERSION

Effective Date:1/1/0001 12:00:00 AM
Russian Version of the Preschool Early Intervention Parental Consent to Excuse Members from Attending the IEP Team Meeting form.
Age:Preschool
Language:Russian
Parental Consent to Excuse Members from Attending the IEP Team Meeting (Annotated) - Preschool Early Intervention   cover image

Parental Consent to Excuse Members from Attending the IEP Team Meeting (Annotated) - Preschool Early Intervention

Effective Date:1/1/0001 12:00:00 AM
This annotated document describes the contents of the Parental Consent to Excuse Members from Attending the IEP Team Meeting form. This form is effective beginning March 2014. This form is used along with an Invitation to Participate in an IEP Meeting if there are team members who are invited to attend but the program would like to excuse their participation. This annotated form offers assistance and guidance to parents and early intervention providers. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
Age:Preschool
Language:English
PERMISSION TO EVALUATE - Preschool Early Intervention cover image

PERMISSION TO EVALUATE - Preschool Early Intervention

Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. This form must be issued by the Local Education Agency to obtain written consent to conduct an initial evaluation.
Age:Preschool
Language:English
Permission to Evaluate (Annotated) - Preschool Early Intervention cover image

Permission to Evaluate (Annotated) - Preschool Early Intervention

Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. This form must be issued by the Local Education Agency to obtain written consent to conduct an initial evaluation. This is the annotated version. This annotated form offers assistance and guidance to parents and early intervention providers. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
Age:Preschool
Language:English
PERMISSION TO REEVALUATE  - Preschool Early Intervention  cover image

PERMISSION TO REEVALUATE - Preschool Early Intervention

Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. This form must be issued by the Local Education Agency to obtain written consent to conduct a reevaluation.
Age:Preschool
Language:English
Permission to Reevaluate (Annotated) - Preschool Early Intervention  cover image

Permission to Reevaluate (Annotated) - Preschool Early Intervention

Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. This form must be issued by the Local Education Agency to obtain written consent to conduct a reevaluation.This annotated form offers assistance and guidance to parents and early intervention providers. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
Age:Preschool
Language:English