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:12/1/2022 1:23:08 PM
The Infant Toddler Tracking Plan used by local Infant Toddler Early Intervention programs is used to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Haitian Creole
Effective Date:12/1/2018 11:33:59 AM
The annotated version of the Infant Toddler Tracking plan provides guidance to staff completing the plan used identifying the supports provided to children and families involved in PA’s Early Intervention tracking program. It is not intended as an exclusive manner for complying with state and/or federal Early Intervention statutes and regulations.
Age:Infant/Toddler
Language:English
Effective Date:12/1/2018 11:36:24 AM
The Spanish version of the Infant Toddler Tracking plan is used by local Infant Toddler Early Intervention programs to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Spanish
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:1/1/0001 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:Preschool
Language:English
Effective Date:3/1/2014 2:08:20 PM
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:Preschool
Language:Albanian
Effective Date:1/1/0001 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. 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
Effective Date:
Spanish version of the Intent to Register for Kindergarten Age 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:Preschool
Language:Spanish
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