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Forms

Agreement ot Waive Re-evaluation (Annotated) - PDF
BEIS Voluntaray Authorziation Release Information - Word
Complaint Resolution Process - PDF
Due Process Complaint Notice - PDF
The Early Intervention Process: Evaluation Report With Annotations - PDF
The Early Intervention Process: Evaluation Report - PDF
EI Complaint Registry Form - PDF
EI Session Note Form - PDF
Individualized Education Program with Annotations (IEP) - PDF
Individualized Family Service Plan (IFSP) - PDF
Invitation to Participate in IEP Meeting - PDF
Invitation to Participate in the IEP Team Meeting (Annotated) - PDF
Invitation to Participate in the IEP Team Meeting or Other Meeting - PDF
Notice of Recommended Educational Placement Prior Written Notice (NOREP) - PDF
Notice to Recommended Educational Placement Prior Written Notice (Annotated) - PDF
Parent Consent to Excuse Members for IEP Meeting - PDF
Parental Consent to Excuse Members from Attending the IEP Team Meeting (Annotated) - PDF
Parent's Rights Agreement - PDF
Parent's Rights Agreement (Spanish) - PDF
Permission to Evaluate - PDF
Permission to Evaluate (Annotated)- PDF
Permission to Re-evaluate - PDF
Permission to Re-evaluate (Annotated) - PDF
Preschool EI SEPRN Announcement Form - PDF
Procedural Safeguard Cover Letter - PDF
Procedural Safeguards Notice - PDF
PW 123: Certification of Need for Infants, Toddlers, and Families Waiver - PDF
PW 123: Certification of Need for Infants, Toddlers, and Families Waiver (Spanish) - PDF
PW 123A: Recertification of Need for Infants, Toddlers, and Familes Waiver - PDF
PW 457: Certification of Choice for Infants, Toddlers, and Families Medicaid Waiver - PDF
PW 457A: Fair Hearing Request for Infants, Toddlers, and Families Waiver - PDF
PA 1768: Home and Community Based Services (HCBS) Eligibility/Ineligibility/Change Form - PDF
Schedule of Revenue and Expenditures - PDF
Waive Re-evaluation - PDF

For additional information, please contact:

Carl Beck |
Pennsylvania Department of Education - OCDEL
333 Market Street | Harrisburg, PA 17126-0333
Phone: 717.214.7130
cabeck@pa.gov | www.education.state.pa.us