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General -- Carbonless/Carbon Items

RFP Line #

Agency

Form No.

Title

Material #

Specification
Revision Date

20005

Agriculture

ADLEB-16

Warning on Violation of PA Dog Law

 

 9/2010

20010

Agriculture

ADLEB-17

Report of Violation of PA Dog Law

 

 9/2010

20015

Conservation & Natural Resources

8000-FM-DPF0001

Parking Violation Book

 

10/2010

20020

Conservation & Natural Resources

8100-FM-FRO115

Fuel Wood Receipt Book

 

10/2010

20021

Conservation & Natural Resources

6000-FM-SP0001

DCNR Courtesy Notice Booklet

 

 

20022

Conservation & Natural Resources

6000-FM-SP0001WLPFR

Watercraft Launch Permit Field Receipt

 

 

20025

Environmental Protection

2570-FM-BWM0501a

Underground Storage Tank Facility Operations Inspection

281539

 5/2010

20030

Environmental Protection

3800-FM-WSFR0290

Application for an On-Lot Sewage Disposal System Permit

282406

 11/2010

20035

Environmental Protection

3800-FM-WSWM0177

NPDES Compliance Inspection Report-Combined Sewer System

282405

 

20040

Environmental Protection

5800-FM-DMS0008

Inspector's Notes

281424

 

20042

Fish & Boat Commission

 

Notice of Violation

 

 

20045

General Services

STD 174

Supplies and Forms Encumbrance

130938

 

20050

General Services

STD 320

Personnel Transfer Request

130996

 

20055

General Services

STD 330

Request for Leave

130956

 

20060

General Services

STD 417

Adjustment Memo from Dept. of Revenue to Treasury Dept.

130959

 

20065

General Services

STD 418

Debit Memo for Checks Returned by Treas. To Rev. Dept.

130960

 

20070

General Services

STD 419

Refund of Expenditures

130961

 

20075

General Services

STD 420

Transmittal of Revenue

130962

 

20080

General Services

STD 555

Repair "Authorization Request

131038

 

20085

General Services

STD 750

Verification of Administrative Leave

130994

 

20087

Probation and Parole

PBPP 348

Parole Violation Warning/Instruction

 

 

20090

Public Welfare

PA 4

Authorization for Release of Information

144682

 

20095

Public Welfare

PA 600

Applications For Benefits

264885

 

20100

Public Welfare

PA 600S

Applications for Benefits (Spanish)

264908

 

20105

Public Welfare

PA 600 CH (SG)

Application for Health Care Coverage

136210

 

20107

Public Welfare

PA 600 CH-S (SG)

Application for Health Care Coverage (Spanish)

136211

 

20108

Public Welfare

PA 600-L SG

MA (Medicaid) Financial Eligibility Application for Long-Term Care, Supports and Services

264899

 

20110

Revenue

REV-15 RC

Official Receipt for Taxes - Receipt Book

289223

 

20115

Revenue

REV-336 CM

Application for PA Boat Registration and/or Title

289280

 

20120

Revenue

REV-1162EX

Inheritance Tax Receipts

289534

 

20125

Revenue

REV-1206 FO

Miscellaneous Investigation - Snap Set Form

289554

 

20130

Revenue

REV-1545 FO

Citation Control Voucher

289605

 

20135

State Police

SP 7-0033

Unattended Vehicle Tag

 

 

20140

Transportation

AA-500

Police Crash Report Rev.

308041

 

20145

Transportation

AA-500C

Police Crash Report - Commercial Vehicle

299422

 

20150

Transportation

AA-500F

Police Crash Report - Fatality

299423

 

20155

Transportation

AA-500H

Police Crash Report - Harmful Event

299424

 

20160

Transportation

AA-500L

Police Crash Report - Location

299425

 

20165

Transportation

AA-500M

Police Crash Report - Multi

299426

 

20170

Transportation

AA-500N

Police Crash Report - Narrative

299427

 

20175

Transportation

AA-500P

Police Crash Report -  People

299428

 

20180

Transportation

AA-500U

Police Crash Report - Unit

299429

 

20185

Transportation

CS-4333

Field Inspector's Diary

308012

 

20190

Transportation

DL-640

Acknowledgement of Seized/Surrendered Driver's License/Vehicle Registration

308089

4/2010 

20195

Transportation

M-212

Reimbursable Activity Report

308022

 

20200

Transportation

M-609

Roadside Activity Report

308042

4/2010 

20205

Transportation

M-614

Operator's Daily Report for Mobile Equipment

308021

4/2010 

20210

Transportation

M-936PB

Special Hauling Book Permit

308033

4/2010 

20215

Transportation

M-940

Emergency Permit Card

299433

 

20220

Transportation

M-945A

Application for Highway Occupancy Permit

304111

 

20225

Transportation

M-945P

Highway Occupancy Permit

299434

 

20230

Transportation

M-950A

Application for Minimum Use Driveway

308036

 

20235

Transportation

MV-1

Application for Certificate of Title - Passenger

299435

 

20240

Transportation

MV-4ST

Vehicle Sales and Use Tax Return/Application for Registration

299436

 

20245

Transportation

MV-90

Surrender of Registration Plate

308074

 

20250

Transportation

MV-120

Temporary Cardboard Intransit Registration Plate Card or Temporary Registration Transfer Card

299437

 

20255

Transportation

MV-355

Dealer Registration Plate Permit

308068

 

20260

Transportation

MV-406

Return Check Letter

299438

 

20262

Transportation

MV-411

Check Exchange Ticket

 

 

20265

Transportation

MV-433A

Police Warning Notice

308088

4/2010 

20270

Transportation

MV-557

IRP Instate Invoice

299442

 

20275

Transportation

MV-586

IRP Temporary Apportioned Registration

303871

 6/2010

20280

Transportation

TR-447

Sample Identification

299446

 

20285

Transportation

M-680T

Barricade Flasher Order

308040

Jun-11

20290

Transportation

M-945C

Department Citation

308025