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.

Results 21-30 of 87
Individualized Family Service Plan/Individualized Education Program (IFSP/IEP) - Early Intervention cover image

Individualized Family Service Plan/Individualized Education Program (IFSP/IEP) - Early Intervention

Effective Date:12/1/2018 12:00:00 AM
Infant Toddler and Preschool Early Intervention plan document for use as of December 2018. The IFSP and IEP are plans that identify services and supports for children and families involved in Early Intervention. The IFSP and IEP consider the strengths of the child; concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
Age:Infant/Toddler,Preschool
Language:English
Infant Toddler Early Intervention Evaluation Report  cover image

Infant Toddler Early Intervention Evaluation Report

Effective Date:12/1/2018 12:00:00 AM
Infant Toddler Early Intervention Evaluation Report for use as of December 2018. The Evaluation Report documents information on a child and family, including strengths and needs, provides eligibility determinations, and provides recommendations for supports that can assist the young child to develop, learn and grow.
Age:Infant/Toddler
Language:English
Infant Toddler Early Intervention Evaluation Report - Annotated  cover image

Infant Toddler Early Intervention Evaluation Report - Annotated

Effective Date:12/1/2018 12:00:00 AM
Infant Toddler Early Intervention Evaluation Report for use as of December 2018. The Evaluation Report documents information on a child and family, including strengths and needs, provides eligibility determinations, and provides recommendations for supports that can assist the young child to develop, learn and grow. This annotated form provides guidance to parents and early intervention staff completing the evaluation report. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
Age:Infant/Toddler
Language:English
INTENT TO REGISTER – Kindergarten Age Eligible  cover image

INTENT TO REGISTER – Kindergarten Age Eligible

Effective Date:1/1/0001 12:00:00 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
INTENT TO REGISTER – Kindergarten Age Eligible - Annotated  cover image

INTENT TO REGISTER – Kindergarten Age Eligible - Annotated

Effective Date:1/1/0001 12:00:00 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
INTENT TO REGISTER –First Grade Eligible (Age of Beginners)  cover image

INTENT TO REGISTER –First Grade Eligible (Age of Beginners)

Effective Date:1/1/0001 12:00:00 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
INTENT TO REGISTER –First Grade Eligible (Age of Beginners) Annotated  cover image

INTENT TO REGISTER –First Grade Eligible (Age of Beginners) Annotated

Effective Date:1/1/0001 12:00:00 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:School Age,Preschool
Language:English
Invitation to Participate in a Transition Meeting cover image

Invitation to Participate in a Transition Meeting

Effective Date:1/1/0001 12:00:00 AM
Letters of invitation for transition to the Preschool EI Program or to other community services. Invitation letters must be sent to the family, Preschool EI Program and other participants no later than 30 days before the scheduled transition meeting date, unless the parties all agree to meet within shorter timelines.
Age:Infant/Toddler,Preschool
Language:English
INVITATION TO PARTICIPATE IN THE IEP TEAM MEETING OR OTHER MEETING – Preschool Early Intervention  cover image

INVITATION TO PARTICIPATE IN THE IEP TEAM MEETING OR OTHER MEETING – Preschool Early Intervention

Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. This form is used to invite team members to an IEP or other meeting.
Age:Preschool
Language:English
INVITATION TO PARTICIPATE IN THE IEP TEAM MEETING OR OTHER MEETING - School Age cover image

INVITATION TO PARTICIPATE IN THE IEP TEAM MEETING OR OTHER MEETING - School Age

Effective Date:6/29/2015 11:00:00 PM
Revised May 2015 – This new Invitation to Participate in the IEP Team Meeting or Other Meeting (with footer indicating “May 2015 Revisions”) replaces the current Invitation. This revised form adds supplementary purposes for an IEP team meeting, removes the requirement to use two separate Invitation to Participate in the IEP Team Meeting or Other Meeting forms for transition planning/services, and supplements the explanations for transition planning and services, including a statement that the local education agency (LEA) will invite the student, if age 14 or above. This form is effective beginning June 30, 2015.
Age:School Age
Language:English