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State Senator Jay Costa
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Applications & Forms

General

  • 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 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)
  • 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
  • Summer Internships
  • 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
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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

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