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:3/8/2024 8:26:57 AM
The Prior Written Notice for a Reevaluation and Request for Consent form has been separated into two forms, the Prior Written Notice for a Reevaluation form and the Request for Consent for a Reevaluation form. The form was separated into two forms to ensure LEAs provide parents with prior written notice and obtain parent consent at proper times during the reevaluation process in accordance with 34 CFR 300.300 and 300.503.
Age:
Language:Vietnamese
Effective Date:9/1/2025 12:00:00 AM
Problem Solving in Early Intervention is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Infant/Toddler,Preschool
Language:English
Effective Date:8/1/2025 12:00:00 AM
Problem Solving in Early Intervention, Mandarin Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program
Age:Infant/Toddler,Preschool
Language:Chinese
Effective Date:8/1/2015 12:00:00 AM
Problem Solving in Early Intervention, Arabic Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Preschool,Infant/Toddler
Language:Arabic
Effective Date:9/1/2025 12:00:00 AM
Problem Solving in Early Intervention, Farsi Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Infant/Toddler,Preschool
Language:Farsi
Effective Date:8/1/2025 12:00:00 AM
Problem Solving in Early Intervention, French Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Infant/Toddler,Preschool
Language:French
Effective Date:8/1/2025 12:00:00 AM
Problem Solving in Early Intervention, Haitian Creole Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Infant/Toddler,Preschool
Language:Haitian Creole
Effective Date:8/1/2025 12:00:00 AM
Problem Solving in Early Intervention, Nepali Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Infant/Toddler,Preschool
Language:Nepali
Effective Date:9/1/2025 12:00:00 AM
Problem Solving in Early Intervention, Portuguese Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Infant/Toddler,Preschool
Language:Portuguese
Effective Date:8/1/2025 12:00:00 AM
Problem Solving in Early Intervention, Russian Version, is intended to help parents of children receiving early intervention understand their procedural safeguards, parent rights and how to problem solve when they have concerns about their child's early intervention program.
Age:Infant/Toddler,Preschool
Language:Russian