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.

Results 11-20 of 419
Agreement to Waive Reevaluation -Annotated cover image

Agreement to Waive Reevaluation -Annotated

Effective Date:7/1/2018 8:41:03 AM
This annotated document describes the contents of the Agreement to Waive Reevaluation form, which is used by the LEA to obtain agreement from the parent to waive a child’s reevaluation. This document also replaces the September 2008 version and includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change aligns the Commonwealth’s special education regulations in Chapter 14 and Chapter 711 to the Individuals with Disabilities Education Act (IDEA) regulatory revisions resulting from Rosa’s Law. The change in terminology does not affect the meaning or the eligibility determination associated with the term.
Age:School Age
Language:English
AKÒ RENONSYASYON POU RE-EVALYASYON cover image

AKÒ RENONSYASYON POU RE-EVALYASYON

Effective Date:6/1/2008 1:31:52 PM
Agreement to Waive Re-evaluation (Haitian Creole)
Age:School Age
Language:Haitian Creole
Annotated Individualized Education Program (IEP) cover image

Annotated Individualized Education Program (IEP)

Effective Date:2/1/2020 2:47:42 PM
This annotated document provides guidance on the development of the Individual Education Program and includes guidance pertaining to the October 2020 revision to Act 26 related to postsecondary transition. Note: The annotated IEP was reformatted on June 14, 2021. Features were added to enhance navigation, search capabilities, and previewing individual sections. The content did not change. Users may select the “Interactive Annotated IEP” or the “ADA Compliant Annotated IEP.”
Age:School Age
Language:English
Annotated Individualized Education Program (IEP) with COVID-19 Guidance cover image

Annotated Individualized Education Program (IEP) with COVID-19 Guidance

Effective Date:12/14/2020 2:41:40 PM
This annotated document provides guidance on the development of the Individual Education Program and includes guidance pertaining to the October 2020 revision to Act 26 related to postsecondary transition as well as any school closures as a result of COVID-19. Note: The annotated IEP was reformatted on June 14, 2021. Features were added to enhance navigation, search capabilities, and previewing individual sections. The content did not change. Users may select the “Interactive Annotated IEP with COVID-19 Guidance” or the “ADA Compliant Annotated IEP with COVID-19 Guidance.”
Age:School Age
Language:English
Annotated Individualized Education Program with COVID-19 Guidance (Spanish) cover image

Annotated Individualized Education Program with COVID-19 Guidance (Spanish)

Effective Date:12/14/2020 3:39:48 PM
PROGRAMA DE EDUCACION INDIVIDUALIZADO (IEP, por sus siglas en inglés) (ANOTADA)This annotated document is effective December 14, 2020. It provides guidance on the development of the Individual Education Program; guidance related to school closures associated with COVID-19; and guidance pertaining to the October 2020 revision to Act 26 questions associated with postsecondary transition.
Age:School Age
Language:Spanish
Authorization to Release Information for Children in Early Intervention cover image

Authorization to Release Information for Children in Early Intervention

Effective Date:5/28/2018 1:00:00 AM
This standard release form is used to obtain permission to share information with community agencies who are currently involved with local Early Intervention programs.
Age:Infant/Toddler,Preschool
Language:English
Authorization to Release Information for Children in Early Intervention (Spanish) cover image

Authorization to Release Information for Children in Early Intervention (Spanish)

Effective Date:5/4/2018 2:17:07 PM
This is the Spanish version of the standard release form used to obtain permission to share information with community agencies who are currently involved with local Early Intervention programs.
Age:Preschool,Infant/Toddler
Language:Spanish
Authorization to Release Information for Infants/Toddlers with Hearing Concerns cover image

Authorization to Release Information for Infants/Toddlers with Hearing Concerns

Effective Date:5/18/2020 1:46:13 PM
This is the Spanish version of the standard release form that will allow Early Intervention and the Department of Health to exchange information with a family of a child who is deaf or hard of hearing.
Age:Infant/Toddler
Language:Spanish
Authorization to Release Information for Infants/Toddlers with Hearing Concerns cover image

Authorization to Release Information for Infants/Toddlers with Hearing Concerns

Effective Date:5/20/2020 2:29:16 PM
A standard release form that will allow Early Intervention and the Department of Health to exchange information with a family of a child who is deaf or hard of hearing.
Age:Infant/Toddler
Language:English
AVIS DE PLACEMENT SCOLAIRE RECOMMANDE / PREAVIS ECRIT (NOREP/PWN) - Âge Scolaire cover image

AVIS DE PLACEMENT SCOLAIRE RECOMMANDE / PREAVIS ECRIT (NOREP/PWN) - Âge Scolaire

Effective Date:11/16/2014 11:00:00 PM
NOTICE OF RECOMMENDED EDUCATIONAL PLACEMENT/PRIOR WRITTEN NOTICE (NOREP/PWN) - School Age Ce formulaire NOREP/PWN offre un format que les LEA peuvent choisir de communiquer aux parents le programme éducatif recommandé pour leur enfant et d'autres mesures prises par l’ LEA. Ce NOREP/PWN révisé comprend des ressources supplémentaires pour les parents à la page 4. Le formulaire révisé contient le pied de page "Octobre 2014." Version annotée disponible.
Age:School Age
Language:French