Fees and Forms

​Fees

View a chart that provides a list of application types and associated fees.

Forms

Most forms below are to be used for documentation/verification purposes only. All applications for certification must be submitted online through the Teacher Information Management System (TIMS).

For educator evaluation forms including Instructional I to Instructional II see Educator Effectiveness.

• ABCTE Application Addendum (PDF)​
  
• Chapter 49 Exceptional Case Policy and Application Process (PDF)
• Declaration of Intent to Become a U.S. Citizen (PDF)
• Documentation Worksheet for Determining Certificate Validity (Word) - Educators are required to convert a Level I (provisional) certificate to a Level II (permanent) certificate. This worksheet is to be submitted by individuals requesting an actual time frame in which a certificate will lapse. Sample Worksheet (PDF)
  
• Health Certificate (PDF) - Only required when applying for a Private Academic certificate.
• Locally Issued Career and Technical Emergency Permit Renewal Request (PDF)
  
• PDE 338 A (PDF) - Used by out-of-state graduates to obtain a college/university verification when applying for Pennsylvania certification.
• PDE 338 CAC (PDF) - Used by applicants who have been denied Pennsylvania certification and wish to appeal the decision.
  
• PDE 338 ES (PDF)- Used only if specifically requested by your reviewer when applying for a Career and Technical Education Emergency permit.
• PDE 338 G (PDF)- Used for collection of background information for re-issuance of emergency permits.
• PDE 338 P (Word) - Used by school entities to verify service for Level II.
• PDE 338 R-4 (PDF) - Used to file an appeal of the Department's Notice of Inactive Certification for failure to meet Act 48/Act 45 Professional Development requirements. Email the completed form to ra-a48apps@pa.gov.
  
• PDE 338 V (PDF) - Used by school entities to verify any professional experience.
  
• PDE 338 VB (PDF) - Used to verify business work experience when applying for a Superintendent's Commission or Commission Qualification Letter.
  
• PDE 427 (PDF) - Level I to Level II Summative Evaluation Form
  
• PDE 430 (PDF) - Student Teacher Assessment
• PDE 430A (PDF) - Student Teacher Assessment Attachment
• PDE 5529 - Application for Commission for Superintendent (PDF)
• Resource Specialist Permit Request (PDF) - The form contains instructions for completion. It may be uploaded into a TIMS application or mailed in with the coversheet provided in the online application.
  
• Safety and Driver Education Teacher Certification Assessment - Testing information, dates, and registration form