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:2/1/2014 12:00:00 AM
                This Russian version of the form is to be provided 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:Russian
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2014 12:00:00 AM
                Intent to register- First grade eligible, Swahili version, the preschool EI 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,School Age
                Language:Swahili
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2014 12:00:00 AM
                Intent to register- First grade eligible, Malayalam version, the preschool EI 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,School Age
                Language:Malayalam
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2014 10:30:01 AM
                INTENTO DE INSCRIBIRSE - ELEGIBLE PARA EL PRIMER GRADO (EDAD DE PRINCIPIANTES) Description: Spanish version of the Intent to Register for first grade eligible children - 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:Spanish
             
         
            
                
               
            
            
                
                
                    Effective Date:1/1/0001 1:00:00 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
             
         
            
                
               
            
            
                
                
                    Effective Date:3/1/2014 2:08:20 PM
                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:Albanian
             
         
            
                
               
            
            
                
                
                    Effective Date:1/1/0001 1:00:00 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
             
         
            
                
               
            
            
                
                
                    Effective Date:
                Spanish version of the Intent to Register for Kindergarten Age children - 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:Spanish
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2014 12:00:00 AM
                This Arabic version of the form is to be provided 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,School Age
                Language:Arabic
             
         
            
                
               
            
            
                
                
                    Effective Date:2/1/2014 12:00:00 AM
                This Chinese version of the form is to be provided 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,School Age
                Language:Chinese