Applications & Forms
General
[wpcol_1half]- Absentee & Mail-In Ballot Application
- Birth & Death Certificate Application
- Criminal Record Check Application
- Child Abuse Clearance Application
- Consumer Complaint Forms
- Hunting License
- Insurance Complaint Form
- Fishing License
- Notary Public Applications
- Prescription Assistance Applications
- Pennsylvania Department of Revenue
- Public Utility Commission Complaint
- Property Tax & Rent Rebate Forms
- State Income Tax Forms
- Voter Registration Application
Applications for State Employment
Department of Human Services
- Application for Benefits (Medical Assistance, Food Stamps, Cash Assistance)
- Application for Medical Assistance for Workers with Disabilities (MAWD)
- Application for Medicare Part B Payment
- HIPAA Release Form
- COMPASS Site
- County Assistance Offices
OFFICES TO SERVE YOU
DISTRICT OFFICES
Monday through Friday • 8:30 a.m. - 4:30 p.m.
MONROEVILLE OFFICE
One Monroeville Center • 3824 Northern Pike, Suite 1015
Monroeville, PA 15146
Phone: 412.380.2242 • Fax: 412.380.2249
MCKEESPORT OFFICE
201 Lysle Boulevard • Suite 100
McKeesport, PA 15132
Phone: 412.664.5200 • Fax: 412.664.5202
CAPITOL OFFICE
Monday through Friday • 8:30 a.m. - 4:30 p.m.
458 Main Capitol Building • Senate Box 203045
Harrisburg, PA 17120
Phone: 717.787.5580 • Fax: 717.772.3588