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 French 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:French
Effective Date:2/1/2014 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:School Age,Preschool
Language:English
Effective Date:3/1/2014 10:17:28 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:Albanian
Effective Date:2/1/2014 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:School Age,Preschool
Language:English
Effective Date:2/1/2014 12:00:00 AM
Intent to register- First grade eligible, Bengali 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:Bengali
Effective Date:2/1/2014 12:00:00 AM
Intent to register- First grade eligible, Farsi 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:Farsi
Effective Date:2/1/2014 12:00:00 AM
This Arabic version of the form is 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
Language:Arabic
Effective Date:2/1/2014 12:00:00 AM
This Chinese version of the form is 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
Language:Chinese
Effective Date:2/1/2014 12:00:00 AM
This French version of the form is 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
Language:French
Effective Date:2/1/2014 12:00:00 AM
This Nepali version of the form is 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
Language:Nepali