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:7/7/2025 7:56:33 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Russian
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Spanish
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Arabic
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Chinese
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Farsi
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:French
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Haitian Creole
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Nepali
             
         
            
                
               
            
            
                
                
                    Effective Date:7/7/2025 12:00:00 AM
                The Procedural Safeguards Notice includes a full explanation of all the rights available to parents of a child in Preschool Early Intervention when their child has been referred for or is receiving Early Intervention services.
                
                Age:Preschool
                Language:Portuguese
             
         
            
                
               
            
            
                
                
                    Effective Date:12/1/2022 12:00:00 AM
                This revised Reevaluation Report (December 2022) replaces the July 2018 version and includes updated language. The updated language does not affect the process that local education agencies follow regarding the completion of the Reevaluation Report.
                
                Age:School Age
                Language:English