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 ⏷
Effective Date:7/1/2008 12:00:00 AM
Agreement to Waive Reevaluation--School Age
본 양식의 발효일은 2008년 7월 1일입니다. 본 신규 양식은 재평가 보류에 관한 학부모의 동의를 얻는 데 사용됩니다. 본 양식의 요청 사항은 이전에 "재평가 허용/재평가 보류 동의" 양식에 포함되었습니다.
Age:School Age
Language:Korean
Effective Date:3/29/2015 11:00:00 PM
Prior Written Notice for Initial Evaluation and Request for Consent Form - School Age
본 개정 양식의 발효일은 2015년 3월 30일이며, 최초 평가는 연방 규정 34항의 IDEA 통보 요청에 따라야 한다는 요건을 반영합니다. 300.503-300.504, 연방 규정 34항의 학부모 동의 요건. 300.300. 연방 규정 34항에 의거 300.503(a) 지방 교육 기관(LEA)은 기관에서 제안하는 평가 절차를 상세하게 설명하는 통지서를 장애 아동의 학부모에게 제공해야 하며, 장애 아동의 학부모에게 공공 기관의 다음 행위에 앞서 합리적인 시간을 제공해야 합니다.
Age:School Age
Language:Korean
Effective Date:6/30/2008 11:00:00 PM
AGREEMENT TO WAIVE REEVALUATION - School Age
このフォームは2008年の7月1日から有効となります。この新しいフォームは再評価を見送るための親の同意を得るために使われます。これリクエストは以前「再評価の許可/再評価を見送りの同意」のフォームに含まれていました。
Age:School Age
Language:Japanese
Effective Date:11/16/2014 11:00:00 PM
NOTICE OF RECOMMENDED EDUCATIONAL PLACEMENT/PRIOR WRITTEN NOTICE (NOREP/PWN) - School Age
この NOREP/PWNフォームはL親への子どもへの推奨された教育プログラムとLEAがとる他のアクションの伝達手段（コミュニーケーション）をLEAが選ぶことのできるフォーマットを提供しています。 この改訂されたNOREP/PWN は4ページ目に追加のリソースを含んでいます。この改訂されたフォームはフッタに2014年10月と記されています。
Age:School Age
Language:Japanese