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 71-80 of 438
Individualized Education Program (IEP) - French cover image

Individualized Education Program (IEP) - French

Effective Date:2/1/2020 11:20:58 AM
PROGRAMME D’ENSEIGNEMENT INDIVIDUALISÉ (PEI) 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
Language:French
Individualized Education Program (IEP) - German cover image

Individualized Education Program (IEP) - German

Effective Date:2/1/2020 11:29:15 AM
INDIVIDUALISIERTES BILDUNGSPROGRAMM (IEP) 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
Language:German
Individualized Education Program (IEP) - Italian cover image

Individualized Education Program (IEP) - Italian

Effective Date:2/1/2020 11:23:34 AM
PROGRAMMA EDUCATIVO INDIVIDUALIZZATO (PEI) 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
Language:Italian
Individualized Education Program (IEP) - Polish cover image

Individualized Education Program (IEP) - Polish

Effective Date:2/1/2020 11:27:25 AM
PROGRAM NAUCZANIA SPECJALNEGO - 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
Language:Polish
Individualized Education Program (IEP) - Russian cover image

Individualized Education Program (IEP) - Russian

Effective Date:2/1/2020 11:30:06 AM
ИНДИВИДУАЛИЗИРОВАННАЯ ПРОГРАММА ОБУЧЕНИЯ (IEP) 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
Language:Russian
INDIVIDUALIZED EDUCATION PROGRAM (IEP) - School Age - Hungarian cover image

INDIVIDUALIZED EDUCATION PROGRAM (IEP) - School Age - Hungarian

Effective Date:2/1/2020 12:00:00 AM
EGYÉNI OKTATÁSI-NEVELÉSI PROGRAM (IEP) Revised IEP February 2020 – Section IV of the IEP, State and Local Assessments, has been revised to reflect changes concerning the PSSA-M and Keystone Exams. The PSSA-Modified is no longer offered as a state assessment and has been removed from the IEP. The 11th grade PSSA is no longer offered as a measure of adequate yearly progress under No Child Left Behind and has been removed from the IEP. The Algebra I, Literature and Biology Keystone Exams will replace the 11th grade PSSA as a measure of adequate yearly progress beginning the 2012-13 school year. English Language Arts has been added to the IEP and will replace the PSSA reading and writing assessments. This revised section of the IEP may be phased in but must be fully implemented by April 30, 2013. Please refer to the Penn*Link dated October 1, 2012 for additional information.
Age:School Age
Language:Hungarian
Individualized Education Program (IEP) - Spanish cover image

Individualized Education Program (IEP) - Spanish

Effective Date:2/1/2020 11:31:40 AM
PROGRAMA DE EDUCACIÓN INDIVIDUALIZADA (IEP) 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
Language:Spanish
Individualized Education Program (IEP) - Ukranian cover image

Individualized Education Program (IEP) - Ukranian

Effective Date:2/1/2020 11:30:38 AM
ІНДИВІДУАЛІЗОВАНА ОСВІТНЯ ПРОГРАММА (ІОП) 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
Language:Ukranian
Individualized Education Program (IEP) - Vietnamese cover image

Individualized Education Program (IEP) - Vietnamese

Effective Date:2/1/2020 11:31:10 AM
CHƯƠNG TRÌNH GIÁO DỤC CÁ NHÂN HOÁ (IEP) 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
Language:Vietnamese
Individualized Education Program (IEP) (Arabic) cover image

Individualized Education Program (IEP) (Arabic)

Effective Date:2/1/2020 8:51:43 AM
Age:School Age
Language:Arabic