State Senator Wayne Fontana
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Applications & Forms

General

  • Absentee Ballot Application
  • Birth Certificate Application
  • Death Certificate Application
  • Criminal Record Check Application
  • Child Abuse Clearance Application
  • Consumer Complaint Forms
  • Grant Application
  • Hunting License
  • Fishing License
  • Notary Public Applications
  • Prescription Assistance Applications
  • Pennsylvania Department of Revenue
  • Pennsylvania Higher Education Assistance Agency (PHEAA)
  • Public Utility Commission Complaint Form
  • Property Tax & Rent Rebate Forms
  • State Income Tax Forms
  • Voter Registration Application
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Employment

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

  • 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
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Brookline District

932 Brookline Boulevard
Pittsburgh, PA 15226-2106
412-344-2551
Fax: 412-344-3400
Hours: 9 am to 5 pm

Harrisburg

543 Main Capitol
Box 203042
Harrisburg, PA 17120-3042
717-787-5300
Fax: 717-772-5484
Hours: 8:30 am to 5 pm

Kennedy Twp

Kenmawr Plaza
524 Pine Hollow Rd
Kennedy Twp, PA 15136-1661
412-331-1208
Fax: 412-331-2079
Hours: 10 am to 4 pm

Beechview Satellite

1660 Broadway Avenue
Pittsburgh, PA 15216-3247
412-343-2080
Fax: 412-343-2418
Limited Hours

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