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.


IEP in Braille

Download the Nemeth format ⏷

Download the UEB format ⏷

Results 491-500 of 503
Special Education State Complaint Resolution Procedures cover image

Special Education State Complaint Resolution Procedures

Effective Date:2/29/2016 11:00:00 PM
This publication outlines the procedures that are followed when complainants allege that the rights of one or more students eligible for services under the IDEA, Chapters 14 or 711 in the State Board Regulations or corresponding federal statutes or regulations have been violated. The IDEA requires the Bureau of Special Education (BSE) to encourage local and less adversarial resolutions to issues. However, federal regulations are clear that resolution activities cannot bar the complaint investigation process. The purpose of these procedures is to: 1. Clearly articulate the process to be followed. 2. Serve as a reference guide and training document. 3. Ensure compliance with federal and state guidelines.
Age:School Age
Language:English
Special Education State Complaint Resolution Procedures cover image

Special Education State Complaint Resolution Procedures

Effective Date:2/29/2016 11:00:00 PM
This publication outlines the procedures that are followed when complainants allege that the rights of one or more students eligible for services under the IDEA, Chapters 14 or 711 in the State Board Regulations or corresponding federal statutes or regulations have been violated. The IDEA requires the Bureau of Special Education (BSE) to encourage local and less adversarial resolutions to issues. However, federal regulations are clear that resolution activities cannot bar the complaint investigation process. The purpose of these procedures is to: 1. Clearly articulate the process to be followed. 2. Serve as a reference guide and training document. 3. Ensure compliance with federal and state guidelines.
Age:School Age
Language:Chinese
Special Education State Complaint Resolution Procedures cover image

Special Education State Complaint Resolution Procedures

Effective Date:2/29/2016 11:00:00 PM
This publication outlines the procedures that are followed when complainants allege that the rights of one or more students eligible for services under the IDEA, Chapters 14 or 711 in the State Board Regulations or corresponding federal statutes or regulations have been violated. The IDEA requires the Bureau of Special Education (BSE) to encourage local and less adversarial resolutions to issues. However, federal regulations are clear that resolution activities cannot bar the complaint investigation process. The purpose of these procedures is to: 1. Clearly articulate the process to be followed. 2. Serve as a reference guide and training document. 3. Ensure compliance with federal and state guidelines.
Age:School Age
Language:Spanish
Summary of Academic Achievement and Functional Performance cover image

Summary of Academic Achievement and Functional Performance

Effective Date:12/14/2020 2:33:51 PM
This form is effective December 14, 2020. This revised Summary of Academic Achievement and Functional Performance (with a footer indicating “December 2020”) includes the addition of an Act 26 data collection question.
Age:School Age
Language:English
Summary of Academic Achievement and Functional Performance (Annotated) cover image

Summary of Academic Achievement and Functional Performance (Annotated)

Effective Date:12/14/2020 8:42:58 AM
This annotated document is effective December 14, 2020. This revised annotated Summary of Academic Achievement and Functional Performance (with a footer indicating “December 2020”) includes the addition of an Act 26 data collection question and related guidance.
Age:School Age
Language:English
Summary of Academic Achievement and Functional Performance (Italian) cover image

Summary of Academic Achievement and Functional Performance (Italian)

Effective Date:7/1/2008 12:00:00 AM
This annotated document is effective December 14, 2020. This revised annotated Summary of Academic Achievement and Functional Performance (with a footer indicating “December 2020”) includes the addition of an Act 26 data collection question and related guidance.
Age:School Age
Language:Italian
Summary of Academic Achievement and Functional Performance (Russian) cover image

Summary of Academic Achievement and Functional Performance (Russian)

Effective Date:7/1/2008 12:00:00 AM
This form is effective December 14, 2020. This revised Summary of Academic Achievement and Functional Performance (with a footer indicating “December 2020”) includes the addition of an Act 26 data collection question.
Age:School Age
Language:Russian
Summary of Academic Achievement and Functional Performance (Spanish) cover image

Summary of Academic Achievement and Functional Performance (Spanish)

Effective Date:7/1/2008 12:00:00 AM
This form is effective December 14, 2020. This revised Summary of Academic Achievement and Functional Performance (with a footer indicating “December 2020”) includes the addition of an Act 26 data collection question.
Age:School Age
Language:Spanish
Summary of Academic Achievement and Functional Performance (Ukranian) cover image

Summary of Academic Achievement and Functional Performance (Ukranian)

Effective Date:7/1/2008 12:00:00 AM
This form is effective December 14, 2020. This revised Summary of Academic Achievement and Functional Performance (with a footer indicating “December 2020”) includes the addition of an Act 26 data collection question.
Age:School Age
Language:Ukranian
Summary of Academic Achievement and Functional Performance (Urdu) cover image

Summary of Academic Achievement and Functional Performance (Urdu)

Effective Date:7/1/2008 12:00:00 AM
This form is effective December 14, 2020. This revised Summary of Academic Achievement and Functional Performance (with a footer indicating “December 2020”) includes the addition of an Act 26 data collection question.
Age:School Age
Language:Urdu