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Pa17105

APPLICATION FOR LICENSURE BY ENDORSEMENT WITH EXAMINATION ...

PENNSYLVANIA STATE BOARD OF NURSING PHONE (717) 783-7142 P.O. BOX 2649 FAX (717) 783-0822 HARRISBURG, PA 17105-2649 www.dos.state.pa.us/nurse Email: st-nurse@state.pa.us APPLICATION FOR LICENSURE BY ENDORSEMENT WITH EXAMINATION/ TEMPORARY PRACTICE PERMIT NEW - Starting in 2010 continuing ...

Highway Safety Plan Federal Fiscal Year2009 - Governor Edward ...

Highway Safety Plan Federal Fiscal Year 2009 Governor Edward G. Rendell Richard H. Hogg, P.E., Governor’s Highway Safety Representative Daryl St. Clair, P.E., Highway Safety Program Coordinator

Acknowledgment of Paternity

acknowledgment of paternity for achild born to an unmarried mother commonwealth of pennsylvania/ departmentof public welfare bureau of child supportenforcement p.o. box 8018 harrisburg, pa17105-8018 6579800606 return completed form to: this form must be completed in blue or black ink tracking ...

AMP-O-LECTRIC Model G Splice Terminator and Applicator

TycoElectronicsCorporation,Harrisburg,PA17105,Phone:888-777-5917or717-810-2080; email:toolingsales@te.com In the interest of continuous improvement, TE Connectivity reserves the right to modify,

COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE ...

for shift nursing outpatient services, send to: outpatient pa/ 1150 waiver services po box 8188 harrisburg, pa17105-8188 for allother outpatient services, send to: outpatient pa/ 1150 waiver services po box 8188 harrisburg, pa17105-8188 please turn to instructions on reverse

UNDUE HARDSHIPWAIVER REQUEST FORM

signature date send allcorrespondence to: department of public welfare division of third partyliability estate recoveryprogram p.o. box 8486 harrisburg, pa17105-8486 facsimile#: (717) 772-6553 estate recoveryhotline: 1-800-528-3708

PennDOT PA Based Commercial Vehicles Fact Sheet

GROSS RECEIPTS TAX All owners and operators of commercial motor vehicles operating for hire in interstate or intrastate operations in Pennsylvania must register for Gross Receipts Tax reporting with the Bureau of Corporation Taxes, Department of Revenue, P.O. Box 8911, Harrisburg, PA17105-8199.

PennDOT Non-PA Based Commercial Vehicle Operating ...

GROSS RECEIPTS TAX All owners and operators of commercial motor vehicles operating for hire in interstate or intrastate operations in Pennsylvania must register for Gross Receipts Tax reporting with the Bureau of Corporation Taxes, Department of Revenue, P.O. Box 8911, Harrisburg, PA17105-8199.

COMMONWEALTHOFPENNSYLVANIA Driver’sAccidentReport

BUREAUOFHIGHWAYSAFETYANDTRAFFICENGINEERING,P.O.Box2047,HARRISBURG,PA17105-2047 PennsylvaniaVehicleCode,Section3747states:Allreportsareconfidential,notavailableastrialevidence INJURYCLASS

Application for SelectPlan for Women

Mail this form and required documentation to: DPW - Central Unit, 1401 N. 7th St. P.O. Box 2675, Harrisburg, PA17105-2675 If you need help completing this application, please call 1-800-842-2020 , or if you are hearing impaired call TDD 1-800-451-5886 .