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.
Effective Date:2/1/2020 8:35:41 AM
גיל בית ספר Revised IEP February 1, 2020 – This revised form (with footer February 1, 2020) provides changes to section IV (the elimination of required video recording and narrative notes for students taking the PASA) per the PENN*LINK issued December 16, 2019.
Age:School Age
Language:Hebrew
Effective Date:2/1/2020 12:00:00 AM
व्यक्तिगिकरण गरिएको शिक्षा कार्यक्रम (IEP) - विद्यालय जाने उमेर
Revised IEP February 1, 2020 – This revised form (with footer February 1, 2020) provides changes to section IV (the elimination of required video recording and narrative notes for students taking the PASA) per the PENN*LINK issued December 16, 2019.
Age:School Age
Age:School Age
Language:Nepali
Effective Date:7/1/2018 1:49:13 PM
PWOGRAM EDIKASYON ENDIVIDYÈL (IEP)
Age:School Age
Language:Haitian Creole
Effective Date:12/1/2022 2:32:42 PM
The Individualized Family Service Plan (IFSP) is a plan that identify services and supports for infants and toddlers and their families involved in Early Intervention. The IFSP considers the strengths of the child and concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
Age:Infant/Toddler
Language:English
Effective Date:12/1/2022 1:25:27 PM
Individualized Family Service Plan (IFSP) is a plan that identify services and supports for infants and toddlers and their families involved in Early Intervention. The IFSP considers the strengths of the child and concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
Age:Infant/Toddler
Language:Japanese
Effective Date:12/1/2022 2:47:01 PM
The IFSP identifies services and supports for children and families involved in Early Intervention. The IFSP and IEP consider the strengths of the child; concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development. This annotated form provides guidance to parents and early intervention staff completing the evaluation report. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
Age:Infant/Toddler
Language:English
Effective Date:1/1/0001 12:00:00 AM
Chinese version of the Infant/Toddler and Preschool Early Intervention plan document (IFSP/IEP).
Age:Infant/Toddler,Preschool
Language:Chinese
Effective Date:12/1/2018 10:11:35 AM
Infant Toddler and Preschool Early Intervention Albanian version of the plan document for use as of December 2018. The IFSP and IEP are plans that identify services and supports for children and families involved in Early Intervention. The IFSP and IEP consider the strengths of the child; concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
Age:Infant/Toddler,Preschool
Language:Albanian
Effective Date:12/1/2018 10:30:39 AM
Infant Toddler and Preschool Early Intervention plan document for use as of December 2018. The IFSP and IEP are plans that identify services and supports for children and families involved in Early Intervention. The IFSP and IEP consider the strengths of the child; concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
Age:Preschool,Infant/Toddler
Language:Haitian Creole
Effective Date:12/1/2018 12:00:00 AM
Infant Toddler and Preschool Early Intervention Spanish version of the plan document for use as of December 2018. The IFSP and IEP are plans that identify services and supports for children and families involved in Early Intervention. The IFSP and IEP consider the strengths of the child; concerns of the parent/guardian and most recent evaluation results so that family members and early education programs are actively engaged in promoting the child’s learning and development.
Age:Infant/Toddler,Preschool
Language:Spanish