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 41-50 of 419
Evaluation Report - Early Intervention Infant/Toddler - Vietnamese Version cover image

Evaluation Report - Early Intervention Infant/Toddler - Vietnamese Version

Effective Date:
Vietnamese Version of the Infant/Toddler Early Intervention Evaluation Report.
Age:Infant/Toddler
Language:Vietnamese
Evaluation Report (Arabic) cover image

Evaluation Report (Arabic)

Effective Date:4/13/2023 8:04:21 AM
Age:School Age
Language:Arabic
Evaluation Report (Bengali) cover image

Evaluation Report (Bengali)

Effective Date:4/13/2023 8:04:21 AM
Age:School Age
Language:Bengali
Evaluation Report (Chinese) cover image

Evaluation Report (Chinese)

Effective Date:4/13/2023 8:04:21 AM
Age:School Age
Language:Chinese
Evaluation Report (Croation) cover image

Evaluation Report (Croation)

Effective Date:6/30/2008 11:00:00 PM
IZVJEŠĆE O OCJENJIVANJU (ER) This revised Reevaluation Report (July 2018) replaces the July 2008 version and includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapters 14 and 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:Croatian
EVALUATION REPORT (ER) - School Age (French) cover image

EVALUATION REPORT (ER) - School Age (French)

Effective Date:7/1/2018 12:00:00 AM
RAPPORT D'ÉVALUATION (ER) - Age scolaire This revised Evaluation Report (July 2018) replaces the July 2008 version and includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapters 14 and 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:French
EVALUATION REPORT (ER) - School Age (Vietnamese) cover image

EVALUATION REPORT (ER) - School Age (Vietnamese)

Effective Date:7/1/2018 12:00:00 AM
BÁO CÁO ĐÁNH GIÁ (BCĐG) - Độ tuổi đến trường This revised Evaluation Report (July 2018) replaces the July 2008 version and includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapters 14 and 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:Vietnamese
Evaluation Report (Haitian Creole) cover image

Evaluation Report (Haitian Creole)

Effective Date:7/1/2018 1:46:58 PM
RAPÒ EVALYASYON (ER)
Age:School Age
Language:Haitian Creole
Evaluation Report (Hebrew) cover image

Evaluation Report (Hebrew)

Effective Date:7/1/2018 8:30:53 AM
גיל בית הספר This revised Evaluation Report (July 2018) replaces the July 2008 version and includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapters 14 and 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:Hebrew
Evaluation Report (Indonesian) cover image

Evaluation Report (Indonesian)

Effective Date:7/1/2018 1:29:00 PM
This revised Evaluation Report (July 2018) replaces the July 2008 version and includes a change in terminology that replaces the term “mental retardation” with the term “intellectual disability.” This change also aligns the Commonwealth’s special education regulations in Chapters 14 and 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:Indonesian