• Facebook
  • Twitter
  • Instagram
  • RSS
  • Home
  • Email
  • Español
Senator Sharif Street
  • About
  • District
  • Newsroom
    • Press Releases
    • Videos
    • Audio
    • Newsletters
    • Events
    • Photo Gallery
  • Legislation
    • My Legislation
    • Committees
    • Adult Use Cannabis
    • Ending Cash Bail in PA
    • End Death by Incarceration
    • Gun Reform
    • PA Farm Bill
    • Policy Priorities
    • Watch Session Live
    • Research Legislation
    • Senate Calendar
    • Post-Session Report
  • Services
    • Self-Service
    • Applications & Forms
    • Toll Free Numbers
    • PA Grant Directory
    • Useful Links
    • Job Opportunities
    • Urban Farming Grant
  • Events
  • Contact
Select Page

Applications & Forms

General

  • Absentee & Mail-In 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

Services We Provide

  • → Services
  • → Self-Service
  • → Applications & Forms
  • → Toll Free Numbers
  • → Senate Citation Request
  • → Grant & Resource Directory
  • → Useful Links
  • → Email Me
  • → Urban Farming Grant

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
Tweet
Share
Share
Pin

District Office

1621 W. Jefferson Street
Philadelphia, PA 19121
Call: (215) 227-6161
Text: (215) 774-5469
Fax: (215) 560-1316
M – F: 8:30 am – 5:00 pm

District Office

4458 A Germantown Avenue
Philadelphia, PA 19140
Call: (215) 457-5200
Text: (215) 774-5469
Fax: (215) 457-5206
M – F: 8:30 am – 5:00 pm

Harrisburg Office

Senate Box 203003
Harrisburg, PA 17120-3003
Room: 535 Main Capitol
Call: (717) 787-6735
Text: (215) 774-5469
Fax: (717) 772-0581
M – F: 8:30 am – 5:00 pm

  • Facebook
  • Twitter
  • Instagram
  • RSS
Senator Sharif Street © 2023. All rights reserved.