Use of Federal Form 2848 By State - NJSEA

1 Use of Federal form 2848 By State A B C D E F G H. 1 State Personal Business Phone # Website 2. 3 Use 2848 ? form Used Use 2848 ? form Used 4 Alabama No 2848A No 2848A 334-242-1170 5 Alaska No n/a No 478 907-465-2344 6 Arizona No 01-5414 No 01-5414 602-255-3381 7 Arkansas No State form No State form 501-682-1100 8 California Yes Yes 800-852-5711 9 Colorado No DR0145 No DR0145 303-238-7378 10 Connecticut No LGL-001 No LGL-001 860-297-5962 11 Delaware Yes Yes 302-577-8200 12 Dist. Of Columbia No D- 2848 No D- 2848 202-727-4829 13 Florida No n/a No DR-835 800-352-3671 14 Georgia No RD-1061 No RD-1061 404-417-6336 15 Hawaii No N-848 No N-848 800-222-3229 16 Idaho No POA No POA 800-972-7660 17 Illinois No IL- 2848 No IL- 2848 800-732-8866 18 Indiana No POA-1 No POA-1 317-232-2240 19 Iowa No IA- 2848 No IA- 2848 515-281-3114 20 Kansas No DO-10 No DO-10 785-368-8222 21 Kentucky Yes Yes 502-564-4581 22 Louisiana No R-7006 No R-7006 225-219-0102 23 Maine No 2848ME No 2848ME 207-626-8475 24 Maryland Yes Yes 410-260-7980 25 Massachusetts No M- 2848 No M- 2848 617-887-6367 26 Michigan Either Mich 155 No Mich 155 517-636-4486 27 Minnesota Either MN rev184 Either MN rev184 615-296-3781 28 Mississippi No 21-002-11 No 21-002-11 601-923-7089 29 Missouri no 2827 No 2827 573-751-3505 30 Montana Yes Yes 406-444-6900 31 Nebraska No 33 No 33 402-471-5729 32 Nevada n/a Yes 775-684-2000 33 Page Down for more states

2 Use of Federal form 2848 By State A B C D E F G H. 34. 35 State Personal Business Phone # Website 36 New Hampshire No n/a No DP- 2848 603-230-5920 37 New Jersey No M-5008-R No M-5008-R 609-292-6400 38 New Mexico No ACD-3102 No ACD-3102 505-827-0827 39 New York No POA-1 No POA-1 518-457-5181 40 North Carolina No GEN-58 No GEN-58 877-252-3052 41 North Dakota No n/a No 500 701-328-1247 42 Ohio No TBOR-1 No TBOR-1 800-282-1780 43 Oklahoma No BT-129 No BT-129 405-521-3160 44 Oregon No 150-800-005 No 150-800-005 503-378-4988 45 Pennsylvania No Rev-677 No Rev-677 717-787-8201 46 Rhode Island No RI- 2848 No RI- 2848 401-574-8829 47 South Carolina No SC- 2848 No SC- 2848 803-898-5709 48 South Dakota No n/a No MV-008 800-829-9188 SD-poa RV- SD-poa RV- 49 Tennessee No F0103801 No F103801 615-253-0700 50 Texas No n/a No 01-137 800-252-1381 51 Utah No TC-737 No TC-737 801-297-2200 52 Vermont No PA-1 No PA-1(bus) 802-828-2865 53 Virginia Yes n/a Yes 804-367-8031 54 Washington No rev 27-0054 No rev27-0054 800-647-7706 55 West Virginia No WV- 2848 No WV- 2848 800-982-8297 56 Wisconsin No A-222 No A-222 608-266-2486 57 Wyoming n/a n/a 307-77-7961