Form Pa

Introduction to the POLST Form

This form was developed by the Pa. Department of Health’s Patient Life Sustaining Wishes Committee and was designed to be consistent with Pennsylvania law. There are significant advantages to using a form that contains standardized language and is produced in a distinctive and easily recognizable format.

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Employer Information - Office of Unemployment …

www.uc.pa.gov or by scanning the QR code on this form. • Phone: Call the statewide toll-free number 888-313-7284. • TTY: Services for the Deaf and Hard of Hearing is available at 888-334-4046. • Paper Form: A paper application can be downloaded from the website www.uc.pa.gov and mailed to the address indicated on the instructions.

  Form, Information, Office, Employers, Unemployment, Employer information, Office of unemployment

2020 Pennsylvania Income Tax Return (PA-40)

27. Penalties and Interest. See the instructions for additional information. Fill in oval if including Form REV-1630/REV-1630A . . . . . . 28.

  Form, Income, Pennsylvania, Return, 2200, 2020 pennsylvania income tax return

PA-40 PA Department of Revenue Harrisburg, PA 17129 2019 ...

28. 27. Penalties and Interest. See the instructions for additional information. Fill in oval if including Form REV-1630/REV-1630A . . . . . . 28.

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PA Child Abuse History Certification

send to childline and abuse registry, pa department of human services, p.o. box 8170 harrisburg, pa 17105-8170. applications that are incomplete, illegible or received without the correct fee will be returned unprocessed. if you have questions call 717-783-6211, or (toll free) 1-877-371-5422. purpose of certification (check one box only)