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:1/1/0001 12:00:00 AM
Transition from Preschool Early Intervention to School Age Program – The Preschool Early Intervention program should include this form as an attachment to the Notice Of Your Child’s Transition to School Age Meeting. 10/2009
Age:
Language:English
Effective Date:1/1/0001 12:00:00 AM
This form is effective beginning March 2014. The Preschool Early Intervention program is responsible for sending this form on or before February 1st to the parents of all children approaching the age of kindergarten or 1st grade.
Age:
Language:English
Effective Date:
AVISO DE OPCIONES PARA LA TRANSICION DE SU HIJO Spanish version of Transition from Preschool Early Intervention to School Age Program – The Preschool Early Intervention program should include this form as an attachment to the Notice Of Your Child’s Transition to School Age Meeting.
Age:
Language:Spanish
Effective Date:10/20/2014 12:00:00 AM
Age:School Age
Language:Bengali
Effective Date:11/17/2014 12:00:00 AM
NOTICE OF RECOMMENDED EDUCATIONAL PLACEMENT/PRIOR WRITTEN NOTICE (NOREP/PWN) - School Age
Este formulario de NOREP/PWN proporciona un formato que las agencias educativas locales (LEAs) pueden decidir comunicar a los padres el programa educativo recomendado para su hijo y otras acciones tomadas por la LEA. Esta NOREP/PWN revisada incluye recursos adicionales para los padres en la página 4. El formulario revisado contiene el pie de página “octubre de 2014”. Versión con acotaciones disponible
Age:School Age
Language:Spanish
Effective Date:10/20/2014 12:00:00 AM
Notice of Recommended Educational Placement/Prior Written Notice in Hebrew
Age:School Age
Language:Hebrew
Effective Date:12/1/2023 10:48:50 AM
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:English
Effective Date:10/20/2014 10:14:29 AM
Effective Date:10/20/2014 9:28:07 AM
Notice Of Recommended Educational Placement (NOREP) - School Age
Age:School Age
Language:Indonesian
Effective Date:3/17/2014 2:14:15 PM
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:Albanian
Effective Date:12/1/2023 12:00:00 AM
This form translated into Chinese 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:Chinese