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 51-60 of 319
Individualized Education Plan (Bengali) cover image

Individualized Education Plan (Bengali)

Effective Date:2/1/2020 8:04:21 AM
Age:School Age
Language:Bengali
Individualized Education Program (IEP) cover image

Individualized Education Program (IEP)

Effective Date:2/1/2020 2:47:42 PM
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:English
Individualized Education Program (IEP) - Chinese cover image

Individualized Education Program (IEP) - Chinese

Effective Date:2/1/2020 7:49:58 AM
个别化教育计划(IEP)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:Chinese
Individualized Education Program (IEP) - Early Intervention cover image

Individualized Education Program (IEP) - Early Intervention

Effective Date:12/1/2022 2:35:27 PM
The Individualized Education Program (IEP)) is a plan that identify services and supports for preschool age children and their families involved in Early Intervention. The IEP 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:Preschool
Language:English
Individualized Education Program (IEP) - Early Intervention – Japanese Version cover image

Individualized Education Program (IEP) - Early Intervention – Japanese Version

Effective Date:12/1/2022 1:27:47 PM
The Individualized Education Program (IEP)) is a plan that identify services and supports for preschool age children and their families involved in Early Intervention. The IEP 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:Preschool
Language:Japanese
Individualized Education Program (IEP) - French cover image

Individualized Education Program (IEP) - French

Effective Date:2/1/2020 11:20:58 AM
PROGRAMME D’ENSEIGNEMENT INDIVIDUALISÉ (PEI) 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:French
Individualized Education Program (IEP) - German cover image

Individualized Education Program (IEP) - German

Effective Date:2/1/2020 11:29:15 AM
INDIVIDUALISIERTES BILDUNGSPROGRAMM (IEP) 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:German
Individualized Education Program (IEP) - Italian cover image

Individualized Education Program (IEP) - Italian

Effective Date:2/1/2020 11:23:34 AM
PROGRAMMA EDUCATIVO INDIVIDUALIZZATO (PEI) 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:Italian
Individualized Education Program (IEP) - Polish cover image

Individualized Education Program (IEP) - Polish

Effective Date:2/1/2020 11:27:25 AM
PROGRAM NAUCZANIA SPECJALNEGO - 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:Polish
Individualized Education Program (IEP) - Russian cover image

Individualized Education Program (IEP) - Russian

Effective Date:2/1/2020 11:30:06 AM
ИНДИВИДУАЛИЗИРОВАННАЯ ПРОГРАММА ОБУЧЕНИЯ (IEP) 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:Russian