• Facebook
  • X
  • Instagram
  • RSS
  • Home
  • Email Me
  • Text Me
  • Subscribe to E-Update
  • English
  • Español
State Senator Jay Costa
  • ABOUT
  • 43rd DISTRICT
    • Senior Centers
    • School Districts
    • Public Libraries
    • District Map
  • NEWSROOM
    • News Releases
    • Audio
    • Videos
    • Petitions and Remonstrances
    • In The 43rd
    • Enewsletter
    • Events
    • Photo Gallery
  • LEGISLATION
    • Committees
    • 2025-26 Introduced Legislation
    • 2023-24 Legislative Accomplishments
    • Research Legislation
    • Session Information
    • Watch Session Live
  • PRIORITIES
    • Education
    • Environment
    • Jobs
    • Safe Communities
    • Healthcare
    • Protecting Democracy
    • Juvenile Justice Task Force
    • Longtime Owner Occupant Program (LOOP)
  • BUDGET
    • 2025-26 State Budget
    • 2024-25 State Budget
    • 2023-24 State Budget
    • 2022-23 State Budget
    • 2021-22 State Budget
    • 2020-21 State Budget
  • SERVICES
    • Services We Provide
    • Applications & Forms
    • Useful Links
    • Toll Free Numbers
    • Employment Resources
    • PA Grant Directory
    • Pennsylvania’s Expanded Property Tax/Rent Rebate Program
    • Clean Slate Law
    • Summer Internships
  • CONTACT
Select Page
  • ABOUT
  • 43rd DISTRICT
    • Senior Centers
    • School Districts
    • Public Libraries
    • District Map
  • NEWSROOM
    • News Releases
    • Audio
    • Videos
    • Petitions and Remonstrances
    • In The 43rd
    • Enewsletter
    • Events
    • Photo Gallery
  • LEGISLATION
    • Committees
    • 2025-26 Introduced Legislation
    • 2023-24 Legislative Accomplishments
    • Research Legislation
    • Session Information
    • Watch Session Live
  • PRIORITIES
    • Education
    • Environment
    • Jobs
    • Safe Communities
    • Healthcare
    • Protecting Democracy
    • Juvenile Justice Task Force
    • Longtime Owner Occupant Program (LOOP)
  • BUDGET
    • 2025-26 State Budget
    • 2024-25 State Budget
    • 2023-24 State Budget
    • 2022-23 State Budget
    • 2021-22 State Budget
    • 2020-21 State Budget
  • SERVICES
    • Services We Provide
    • Applications & Forms
    • Useful Links
    • Toll Free Numbers
    • Employment Resources
    • PA Grant Directory
    • Pennsylvania’s Expanded Property Tax/Rent Rebate Program
    • Clean Slate Law
    • Summer Internships
  • CONTACT
  • Home
  • Email Me
  • Text Me
  • Subscribe to E-Update
  • English
  • Español

Applications & Forms

General

  • Absentee & Mail-In Ballot Application
  • Criminal Record Check Application
  • Child Abuse Clearance Application
  • Consumer Complaint Forms
  • Grant Application
  • Hunting License
  • Insurance Complaint Form
  • Fishing License
  • Notary Public Applications
  • Prescription Assistance Applications
  • Public Utility Commission Complaint Form
  • Property Tax & Rent Rebate Forms
  • State Income Tax Forms
  • Voter Registration Application

Applications for State Employment

  • State Civil Service Commission Application
  • Bureau of State Employment Personal Data Sheet

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
  • HIPAA Release Form (Spanish)
  • COMPASS Site
  • County Assistance Offices

HOW CAN I HELP?

  • Applications & Forms
  • Clean Slate Law
  • Email Me
  • Employment Opportunities
  • PA Grant Directory
  • Toll Free Numbers
  • Useful Links

QUICK LINKS

  • Birth/Death Certificates
  • Driver/Vehicle Services
  • Employment Assistance
  • Heating Assistance / LIHEAP
  • Online Notary Application
  • PA “Do Not Call” Link
  • PA Tax Forms
  • Property Tax & Rent Rebate
  • Unclaimed Property
  • Voter Registration

Forest Hills

1501 Ardmore Blvd | Suite 403
Pittsburgh, PA 15221
Call: (412) 241-6690
Text: (412) 850-4255
Fax: (412) 731-2332

Bloomfield

4736 Liberty Ave. | Suite 1
Pittsburgh, PA 15224
Call: (412) 578-8457
Text: (412) 850-4255
Fax : (412) 578-9874

Harrisburg

Senate Box 203043
Harrisburg, PA 17120-3043
Call: (717) 787-7683
Text: (412) 850-4255
Fax: (717) 783-5976

  • Home
  • About Me
  • 43rd District
  • Newsroom
  • Contact
  • Facebook
  • X
  • Instagram
  • RSS
State Senator Jay Costa © 2025. All Rights Reserved.