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:12/1/2023 12:00:00 AM
                This form translated into French summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
                
                Age:Preschool
                Language:French
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2023 12:00:00 AM
                This form translated into Nepali summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
                
                Age:Preschool
                Language:Nepali
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2023 12:00:00 AM
                This form translated into Portuguese summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
                
                Age:Preschool
                Language:Portuguese
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2023 12:00:00 AM
                This form translated into Russian summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
                
                Age:Preschool
                Language:Russian
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2019 9:27:49 AM
                This is the Khmer version of the form used to summarize recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
Age: Preschool
                
                Age:Preschool
                Language:Khmer
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2023 1:51:50 PM
                This is an annotated version of the Notice of Recommended Educational Placement (NOREP). It provides guidance to preschool Early Intervention staff on using and explaining the NOREP to families. It also provide additional information on the special education process.
                
                Age:Preschool
                Language:English
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2023 12:00:00 AM
                This form is the Spanish version of the NOREP/PWN. This form summarizes recommendations for a child’s preschool educational program and other actions proposed by the Preschool Early Intervention program. The form also includes state and local resources that provide additional information on the special education process.
                
                Age:Preschool
                Language:Spanish
             
         
            
                
               
            
            
                
                
                    Effective Date:10/20/2014 9:28:07 AM
                Notice Of Recommended Educational Placement (NOREP) - School Age
                
                Age:School Age
                Language:English
             
         
            
                
               
            
            
                
                
                    Effective Date:10/1/2014 12:00:00 AM
                This NOREP/PWN form provides a format that LEAs may choose to provide to parents the recommended educational program for their child and other actions taken by the LEA. This revised NOREP/PWN includes additional resources for parents on page 4. The revised form contains the footer "October 2014.” 
                
                Age:School Age
                Language:Hungarian
             
         
            
                
               
            
            
                
                
                    Effective Date:10/20/2014 9:28:07 AM
                Notice Of Recommended Educational Placement (NOREP) - School Age (Arabic)
                
                Age:School Age
                Language:Arabic