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 81-90 of 319
Infant Toddler Tracking Plan – Early Intervention - Haitian-Creole Version cover image

Infant Toddler Tracking Plan – Early Intervention - Haitian-Creole Version

Effective Date:12/1/2022 1:23:08 PM
The Infant Toddler Tracking Plan used by local Infant Toddler Early Intervention programs is used to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Haitian Creole
Infant Toddler Tracking Plan – Early Intervention Annotated  cover image

Infant Toddler Tracking Plan – Early Intervention Annotated

Effective Date:12/1/2018 11:33:59 AM
The annotated version of the Infant Toddler Tracking plan provides guidance to staff completing the plan used identifying the supports provided to children and families involved in PA’s Early Intervention tracking program. It is not intended as an exclusive manner for complying with state and/or federal Early Intervention statutes and regulations.
Age:Infant/Toddler
Language:English
Infant Toddler Tracking Plan – Spanish Version  cover image

Infant Toddler Tracking Plan – Spanish Version

Effective Date:12/1/2018 11:36:24 AM
The Spanish version of the Infant Toddler Tracking plan is used by local Infant Toddler Early Intervention programs to identify the supports provided to children and families involved in PA’s Early Intervention tracking program.
Age:Infant/Toddler
Language:Spanish
Informe de evaluación (con acotaciones) - Edad escolar (español) cover image

Informe de evaluación (con acotaciones) - Edad escolar (español)

Effective Date:12/1/2016 11:00:00 PM
Evaluation Report (Annotated)—School Age Este documento con acotaciones describe el contenido del Informe de Evaluación, el cual se llena para documentar el proceso en el cual un equipo de evaluación, definido en las regulaciones federales y estatales como un grupo de profesionales calificados, así como y el/los padre(s) del alumno, determinan si el alumno sufre de una discapacidad y tiene necesidad de los servicios de educación especial. Este formulario se utiliza únicamente cuando se hace una evaluación a un alumno que todavía no es identificado como estudiante en edad escolar para recibir educación especial.
Age:School Age
Language:Spanish
Intent to Register – First Grade Eligible – Spanish Version  cover image

Intent to Register – First Grade Eligible – Spanish Version

Effective Date:2/1/2014 9:30:01 AM
INTENTO DE INSCRIBIRSE - ELEGIBLE PARA EL PRIMER GRADO (EDAD DE PRINCIPIANTES) Description: Spanish version of the Intent to Register for first grade eligible children - The Preschool Early Intervention program is to provide this form to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:School Age,Preschool
Language:Spanish
INTENT TO REGISTER – Kindergarten Age Eligible  cover image

INTENT TO REGISTER – Kindergarten Age Eligible

Effective Date:1/1/0001 1:00:00 AM
This form is effective beginning March 2014. The Preschool Early Intervention program is to provide this form to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:Preschool
Language:English
INTENT TO REGISTER – Kindergarten Age Eligible – Albanian Version cover image

INTENT TO REGISTER – Kindergarten Age Eligible – Albanian Version

Effective Date:3/1/2014 2:08:20 PM
This form is effective beginning March 2014. The Preschool Early Intervention program is to provide this form to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:Preschool
Language:Albanian
INTENT TO REGISTER – Kindergarten Age Eligible - Annotated  cover image

INTENT TO REGISTER – Kindergarten Age Eligible - Annotated

Effective Date:1/1/0001 1:00:00 AM
This form is effective beginning March 2014. The Preschool Early Intervention program is to provide this form to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school. This annotated form offers assistance and guidance to parents and early intervention providers. It is not intended as an exclusive manner for complying with state and/or federal special education statutes and regulations.
Age:Preschool
Language:English
INTENT TO REGISTER – Kindergarten Age Eligible – Spanish Version  cover image

INTENT TO REGISTER – Kindergarten Age Eligible – Spanish Version

Effective Date:
Spanish version of the Intent to Register for Kindergarten Age children - The Preschool Early Intervention program is to provide this form to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:Preschool
Language:Spanish
INTENT TO REGISTER –First Grade Eligible (Age of Beginners)  cover image

INTENT TO REGISTER –First Grade Eligible (Age of Beginners)

Effective Date:2/1/2014 1:00:00 AM
This form is effective beginning March 2014. The Preschool Early Intervention program is to provide this form to the parent at the Transition meeting (that is to be held by the end of February) and is to be completed jointly by the preschool and the school district or charter school.
Age:School Age,Preschool
Language:English