Senator Lisa Boscola
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Applications and Forms

General

  • Absentee Ballot Application
  • Birth & Death Certificate 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
  • 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)
  • Application for Medicare Part B Payment
  • HIPAA Release Form
  • COMPASS Site
  • County Assistance Offices

How Can I Help!

  • → Useful Links
  • → Applications and Forms
  • → Toll-Free Phone Numbers
  • → Request a Citation
  • → New Resident Information

BETHLEHEM OFFICE

One East Broad Street
Suite 120
Bethlehem, PA 18018
(610) 868-8667
Fax: (610) 861-2184
Toll-free: 1-877-535-1818

EASTON OFFICE

1701 Washington Blvd.
Easton, PA 18042
(610) 250-5627
(610) 250-5629
Fax: (610) 250-1889

HARRISBURG OFFICE

Senate Box 203018
Harrisburg, PA 17120-3018
(717) 787-4236
Fax: (717) 783-1257
Senate of PA:
1-800-364-1581 (TTY)

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Senator Lisa Boscola © 2019. All rights reserved.