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 198
Notice Of Your Child’s Transition To School Age Meeting - Annotated  cover image

Notice Of Your Child’s Transition To School Age Meeting - Annotated

Effective Date:3/1/2014 1:00:00 AM
his 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. 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:School Age,Preschool
Language:English
NOTIFICACIÓN DE LA UBICACIÓN EDUCATIVA RECOMENDADA/ NOTIFICACIÓN PREVIA POR ESCRITO (NOREP/PWN, por sus siglas en inglés) – Edad escolar  cover image

NOTIFICACIÓN DE LA UBICACIÓN EDUCATIVA RECOMENDADA/ NOTIFICACIÓN PREVIA POR ESCRITO (NOREP/PWN, por sus siglas en inglés) – Edad escolar

Effective Date:11/16/2014 11:00:00 PM
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
NOTIFICACIÓN PREVIA POR ESCRITO PARA REALIZAR LA EVALUACIÓN INICIAL Y FORMULARIO PARA SOLICITAR CONSENTIMIENTO- Edad escolar cover image

NOTIFICACIÓN PREVIA POR ESCRITO PARA REALIZAR LA EVALUACIÓN INICIAL Y FORMULARIO PARA SOLICITAR CONSENTIMIENTO- Edad escolar

Effective Date:3/29/2015 11:00:00 PM
Prior Written Notice for Initial Evaluation and Request for Consent Form - School Age Este nuevo formulario entrará en vigor a partir del 30 de marzo de 2015 y refleja el requisito referente a que las evaluaciones iniciales estarán sujetas a los requisitos de aviso de la IDEA mencionados en 34 CFR Sec. 300.503-300.504, así como los requisitos de consentimiento de los padres mencionados en 34 CFR Sec. 300.300. Conforme a 34 CFR Sec. 300.503(a) la Agencia de Educación Local (LEA) deberá dar aviso por escrito a los padres del niño con discapacidad; tal aviso describirá el o los procedimientos de evaluación que la agencia se proponga realizar y deberá ser entregado a los padres del niño condiscapacidad antes de que la agencia pública: (1) Se proponga iniciar o cambiar la identificación, evaluación o colocación educativa del niño o la disposición de la FAPE (Educación Pública Adecuada y Gratuita) para el niño; o (2) Se rehúse a iniciar o cambiar la identificación, evaluación o colocación educativa del niño o la disposición de la FAPE para el niño. Este Aviso Previo por Escrito para Evaluación Inicial y Petición del Formulario de Consentimiento incluye el aviso y los requisitos de consentimiento para la evaluación inicial. Este formulario sustituye el Permiso para Evaluar – Formulario de Consentimiento. En el pie de página se lee, “Revisado en enero de 2015”. Versión con acotaciones disponible
Age:School Age
Language:Spanish
OBAVIJEST O PREPORUČENOM OBRAZOVNOM POSTAVLJANJU/PRETHODNA PISANA OBAVIJEST (NOREP/PWN) - Školska dob  cover image

OBAVIJEST O PREPORUČENOM OBRAZOVNOM POSTAVLJANJU/PRETHODNA PISANA OBAVIJEST (NOREP/PWN) - Školska dob

Effective Date:11/16/2014 11:00:00 PM
NOTICE OF RECOMMENDED EDUCATIONAL PLACEMENT/PRIOR WRITTEN NOTICE (NOREP/PWN) - School Age Ovaj obrazac NOREP/PWN daje oblik koji lokalne agencije za obrazovanje mogu odabrati za prenošenje roditeljima preporučenih obrazovnih programa za njihovo dijete i druge radnje koje poduzima LEA. Ovaj revidirani obrazac NOREP/PWN uključuje dodatne resurse za roditelje na stranici 4. Ovaj revidirani obrazac sadrži podnožje “Listopad 2014.” Dostupna je objavljena verzija
Age:School Age
Language:Croatian
Parent Consent Excuse (Haitian Creole) cover image

Parent Consent Excuse (Haitian Creole)

Effective Date:6/30/2008 2:14:08 PM
KONSANTMAN PARAN POU DISPANSE PATISIPASYON MANM NAN REYINYON EKIP PWOGRAM EDIKASYON ENDIVIDYÈL (IEP) A
Age:School Age
Language:Haitian Creole
Parental Consent to Excuse Members from Attending the Individualized Education Program (IEP) Team Meeting – School Age cover image

Parental Consent to Excuse Members from Attending the Individualized Education Program (IEP) Team Meeting – School Age

Effective Date:6/30/2008 11:00:00 PM
This form, effective beginning July 1, 2008, is to be used when the Local Education Agency (LEA) seeks to obtain consent from the parent to excuse required members of the IEP team from attending an IEP team meeting.
Age:School Age
Language:English
Parental Consent to Excuse Members from Attending the Individualized Education Program (IEP) Team Meeting (Annotated) - School Age cover image

Parental Consent to Excuse Members from Attending the Individualized Education Program (IEP) Team Meeting (Annotated) - School Age

Effective Date:10/8/2008 11:00:00 PM
This annotated document describes the contents of the Parental Consent To Excuse Members from Attending the IEP Team Meeting form, which is used by the LEA to obtain consent from the parent to excuse required members of the IEP team from attending an IEP team meeting.
Age:School Age
Language:English
PERMISSION TO EVALUATE – ORAL REQUEST FORM cover image

PERMISSION TO EVALUATE – ORAL REQUEST FORM

Effective Date:6/8/2021 12:48:42 PM
This form is effective beginning June 8, 2021. This document must be issued by the Local Education Agency in response to a parent's oral request for an evaluation within 10 calendar days of the oral request.
Age:School Age
Language:English
PERMISSION TO EVALUATE – ORAL REQUEST FORM (ANNOTATED) cover image

PERMISSION TO EVALUATE – ORAL REQUEST FORM (ANNOTATED)

Effective Date:6/8/2021 12:51:17 PM
This annotated document describes the contents of the Permission to Evaluate - Oral Request Form, which is provided to the parent by the LEA upon a parent’s oral request for an evaluation. This form provides the means of documenting the parental request in writing.
Age:School Age
Language:English
PIANO DI COMUNICAZIONE - ETÀ SCOLARE cover image

PIANO DI COMUNICAZIONE - ETÀ SCOLARE

Effective Date:7/1/2008 11:00:00 PM
COMMUNICATION PLAN - School Age Il Piano di Comunicazione deve essere incluso nell'IEP per ogni studente che è sordo o con problemi dell’udito. Il modulo del Piano di Comunicazione è stato controllato a dicembre 2010. A quel tempo addizioni vennero fatte alle sezioni I e III del Piano per includere i bisogni di comunicazione e i dispositivi tecnologici e i servizi necessari per gli studenti che sono sordi. Il Piano rivisto ha un piè di pagina che legge dicembre 2010. Disponibile la Versione annotata.
Age:School Age
Language:Italian