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.
IEP in Braille
Download the Nemeth format ⏷
Download the UEB format ⏷
Effective Date:12/14/2020 3:39:48 PM
PROGRAMA DE EDUCACION INDIVIDUALIZADO (IEP, por sus siglas en inglés) (ANOTADA)This annotated document is effective December 14, 2020. It provides guidance on the development of the Individual Education Program; guidance related to school closures associated with COVID-19; and guidance pertaining to the October 2020 revision to Act 26 questions associated with postsecondary transition.
Age:School Age
Language:Spanish
Effective Date:5/28/2018 1:00:00 AM
This standard release form is used to obtain permission to share information with community agencies who are currently involved with local Early Intervention programs.
Age:Infant/Toddler,Preschool
Language:English
Effective Date:5/4/2018 2:17:07 PM
This is the Spanish version of the standard release form used to obtain permission to share information with community agencies who are currently involved with local Early Intervention programs.
Age:Preschool,Infant/Toddler
Language:Spanish
Effective Date:5/18/2020 1:46:13 PM
This is the Spanish version of the standard release form that will allow Early Intervention and the Department of Health to exchange information with a family of a child who is deaf or hard of hearing.
Age:Infant/Toddler
Language:Spanish
Effective Date:5/20/2020 2:29:16 PM
A standard release form that will allow Early Intervention and the Department of Health to exchange information with a family of a child who is deaf or hard of hearing.
Age:Infant/Toddler
Language:English
Effective Date:11/17/2014 12:00:00 AM
Notice Of Recommended Educational Placement (NOREP) - School Age
Age:School Age
Language:French
Effective Date:4/28/2025 7:45:40 AM
The Procedural Safeguards Notice includes a full explanation of rights available to parents of a school age child with a disability when their child has been referred for or is receiving special education services. This model form provides a format that LEAs may choose to use to provide information about procedural safeguards to parents. This revised Procedural Safeguards Notice includes updated contact information and the Bureau of Special Education Complaint Information Packet and Form.
Effective Date: April 28, 2025
Age: School Age
Language: French
Age:School Age
Language:French
Effective Date:4/28/2025 8:07:51 AM
The Procedural Safeguards Notice includes a full explanation of rights available to parents of a school age child with a disability when their child has been referred for or is receiving special education services. This model form provides a format that LEAs may choose to use to provide information about procedural safeguards to parents. This revised Procedural Safeguards Notice includes updated contact information and the Bureau of Special Education Complaint Information Packet and Form.
Effective Date: April 28, 2025
Age: School Age
Language: Spanish
Age:School Age
Language:Spanish
Effective Date:10/1/2014 12:58:21 PM
Para la LEA use solamente la casilla: Registrar la fecha hábil en que se entrega este formulario a la LEA. Esto representará la documentación que el padre respondió en el NOREP/PWN.
Age:School Age
Language:Spanish
Effective Date:11/16/2014 11:00:00 PM
PROCEDURAL SAFEGUARDS NOTICE - School Age
L'avviso di garanzie procedurali include una spiegazione completa di tutti i diritti disponibili per i genitori di un bambino di 3-21 anni con una disabilità quando il loro bambino è stato raccomandato per o é ricevendo servizi di educazione speciale. Tale modello di modulo fornisce un formato che LEA può scegliere di utilizzare per fornire informazioni sulle garanzie procedurali per i genitori. Il presente Avviso di garanzie procedurali include risorse supplementari per i genitori in Appendice A. Questo documento contiene anche un modulo di richiesta rivisto per l’Ufficio di Risoluzione delle Controversie (ODR) per la Consulenza IEP/IFSP, Mediazione, Conferenza di Conciliazione Valutativa (ECC) e un modulo di Richiesta di Processo di Regolazione di Reclami rivisto. L’avviso di garanzie procedurali contiene il piè di pagina "Ottobre 2014."
Age:School Age
Language:Italian