Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 13-1471e

[43 Pa.B. 4437]
[Saturday, August 3, 2013]

[Continued from previous Web Page]

Office of Administration—Contact: Carole Procope (717) 772-6604

POLICY STATEMENTS:

Year Code
Citation
Subject Date
Issued
Bulletin
Number
1998 Ch. 259.1 Statement of Claim, Managed Care Organization— statement of policy 07/11/98
(effective 2/1/97)
2007
Amended 2008
Ch. 259.2 Claims against moneys for which third parties are liable as a result of a tort claim allocation of tort proceeds in actions filed before September 2, 2008—statement of policy 09/07/07
(eff. 09/08/07)
Amended 10/31/08
(eff. 11/01/08)
2008 Ch. 259.3 Claims against moneys for which third-parties are liable as a result of a tort claim allocation of tort proceeds in actions filed on or after September 2, 2008—statement of policy 10/31/08
(eff. 11/01/08)
2008 Ch. 259.4 Settlements without litigation—statement of policy 10/31/08
(eff. 11/01/08)
2008 Ch. 259.5 Cooperation in obtaining payment from third parties—statement of policy 10/31/08
(eff. 11/01/08)
2008 Ch. 259.6 Civil money penalties—statement of policy 10/31/08
(eff. 11/01/08)
2010 Ch. 2600 Evacuation of Hospice Residents During Fire Drills—statement of policy 03/13/10 40 Pa.B. 1411

GUIDANCE MANUALS:
• Regulatory Compliance Guide for 55 Pa. Code Chapter 2600 (relating to personal care homes)
• Licensing Indicator System for Personal Care Homes
• Policy for Administrative Fines in Personal Care Homes
• Sale or change of legal entity process for Personal Care Homes

Office of Child Development and Early Learning—Contact: Lynne Ackerman (717) 346-4673

Bureau of Certification Services

POLICY STATEMENTS:

Year Code
Citation
Subject Date
Issued
Bulletin
Number
2007 Ch. 3270—3280 Certification of Part Day Program for School— Age Children 09/15/07 3001-07-01
2009 Ch. 3270
Ch. 3280
Ch. 3290
Reporting Lost Child 02/21/09 3001-08-02
Ch. 3270
Ch. 3280
Ch. 3290
Playground Protective Surface Covering 02/21/09 3001-09-01
2011 Ch. 3270—3280 Waiver of Child Care Facility Regulations 03/1/11 00-11-01
2012 Ch. 3270
Ch. 3280
Ch. 3290
Tuberculosis Blood Test 02/4/12 3001-12-01
Announcements:
2008 C-08 #01—Capacity on Certificate of Compliance 04/08/08
C-08 #02—Proof of Liability Insurance 04/08/08
C-08 #05—Impact of Change in Equivalencies of CDA and CCP Credentials 08/13/08
C-08 #06—Approved Child Service Report Form 09/02/08
C-08 #07—Compliance with Regulations Relating to Recalled Toys and Equipment 09/15/08
2009 C-09 #04—Use of Hand Sanitizers in Early Childhood Programs 09/25/09
2010 C-10 #01—PEMA Update to Emergency Plan Toolkit for Child Care Facilities 03/23/10
2011 C-11-#01—Emergency Temporary Relocation of a Child Care Facility 05/12/11
C-11 #02—Revised Child Care Staff Health Assessment 07/20/11
C-11 #03—Act 24 of 2011 Implementation 08/01/11
PELICAN Data Moratorium
C-11 #04—Announcements Deemed Obsolete 9/21/11
2012 Proof of Identification Required for Child Care Center Director and Group Child Care Home Primary Staff Person 9/18/12
Bureau of Early Intervention Services
2006 ELS-EI-06 #04 Natural Environments 07/24/06
ELS-EI-06 #07 Clarification of Waiver of 4300 Fiscal Regulations 08/15/06
ELS-EI-06 #10 Acceptable Signers of the Beneficiary Choice Form for the Infants, Toddlers And Families Medicaid Waiver 09/05/06
ELS-EI-06 #12 Medicaid Waiver for Infants, Toddlers and Families Renewal 10/03/06
2007 EI-07 #04 OCDEL Operating Agreement, ITF Provider Agreement, Provider/County Agreement 04/03/07
EI-07 #12 PA Pre-K Counts and Early Intervention working Together 10/24/07
2008 EI-08 #02 Reportable Incidents 03/07/08
EI-08 #03 Extent and Duration of Early Intervention Programs for Preschoolers, Including Services During Scheduled Breaks in Their Programs 04/16/08
EI-08 #05 Issuance of Two New Forms-the Evaluation Report (ER) and the Individualized Family Service Plan (IFSP) Individualized Educational Program (IEP) 06/30/08
EI-08 #09 Early Intervention Special Education Plan Review Notice (EI SEPRN) 8/18/08
EI-08 #10 Eligibility for Infants Toddlers Families Medicaid Waiver 09/22/08
2009 EI-09 #01 Recommendations for Children Who are Deaf and Hard of Hearing 01/02/09
EI-09 #13 Childfind System Including Children Who Are Wards of the State, Children Living in Residential Facilities, Children who were Abused and Children who are Homeless. 09/11/09
EI-09- #14 Contracting with Early Intervention Service Providers and Suspending and Terminating Early Intervention Service Providers 09/16/09
EI-09- #17 Qualifications for Individuals to Provide Speech-Language Pathology Services in Early Intervention and the Requirements for Billing 10/05/09
EI-09 #19 Transition of Preschool Children to School Age Programs 10/20/09
2010 EI-2010 #01 Revised Early Intervention Audit and Fiscal Reporting Requirements 01/19/10
EI-2010 #02 Release of Information 01/29/10
EI-2010 #04 Operational Guidance for Infant/ Toddler Programs Regarding Children Living in Residential Facilities 04/09/10
EI-2010 #06 Funding Responsibilities for Early Intervention Services for Children at Kindergarten Age 05/18/10
EI-2010 #07 Paraprofessional Qualifications 06/15/10
EI-2010 #08 Amended Behavior Supports for Young Children 10/25/10
EI-2010 #09 State Set Rates for Infant Toddler Early Intervention Services 11/09/10
2011 EI-2010 #01 IDEA Early Intervention Complaint Procedures 06/01/11
EI-11 #02 ACT 24 of 2011 Implementation PELICAN Data Moratorium 8/1/11
EI-11 #03 Annual Data Review 10/27/11
EI-11 #04 Infant/Toddler Early Intervention Cost Centers 11/16/11
2012 EI-12 #01 Screening, Evaluation and Assessment in Early Intervention 4/11/12
EI-12 #02 Updates to Early Intervention Policy Based on requirements in IDEA Part C 4/11/12
EI-12 #03 Confidentiality, Parent Consent and Surrogate Parents 4/11/12
EI-12 #05 Mediation, Due Process, and IFSP Facilitation Procedures for Infant/Toddler Early Intervention 7/1/12
EI-12 #06 Positive Behavior Supports 9/1/12
EI-12 #07 Collecting and Reporting Child Outcome Data in Infant/Toddler and Preschool Early Intervention Programs 10/26/12
EI-12 #08 Local Determination Process 10/26/12
EI-12 #09 Public Participation Requirements under The Individuals with Disabilities Education Act 10/26/12
2013 EI-13 #01 Transition of Toddlers to Preschool or Other Community Services 1/30/13
EI-13 #02 PA System of Payment 3/19/13
EI-13 #03 Session Notes 4/26/13
EI-13 #04 Infants and Toddlers Referred to Pennsylvania's Early Intervention Program from Out of State 4/30/13
EI-13 #05 Third Party Insurance Denials and Public Consulting Group 4/30/13
OCDEL-13 #01 Children Experiencing Homelessness 5/9/13
Bureau of Early Learning Services
2005 ELS-05 #19—Keystone STARS Logo Usage Guidelines 10/24/05
2006 ELS-06 #06—Emergency Management Preparedness Training—Distribution of Training Materials 01/20/06
2007 ELS-07 #15-2007-08 STAR Designation Guidelines 08/17/07
ELS-07 #19—Keystone STARS funding for STARS facilities participating in PA Pre-K Counts 11/21/07
2008 ELS/KS-08 #20 Revised Keystone STARS Exit Survey 08/18/08
ELS/KS-08 #28 Verification of Communication 09/12/08
FAP-08 #1 Out-of-state Travel and Lodging Prohibition Due to Current Economic Situation 12/16/08
FAP-08 #2 Update on Preschool Child Outcome Reporting for OCDEL Programs 12/17/08
ELS/KS-08 #33 Designation Paperwork and ERS Request 12/22/08
2009 ELS/KS-09 #04 Canceling or Refusing ERS Assessment Windows and Refusing a Scheduled Assessment 02/12/09
ELS/KS-09 #06 Creation of STAR 3—Accreditation Classification 02/20/09
ELS/KS-09 #10 Keys to Quality Security Roles 03/30/09
ELS/KS-09 #11 Star Level of Facilities Operated by Regional Key, Technical Assistance and Professional Development Contractors/ Subcontractors 04/14/09
ELS/KS-09 #16 Professional Development Fee Procedures for Keys in Quality 06/11/09
ELS/KS-09 #20 Access to the Early Learning Network Secure Web-Based System—PELICAN 07/10/09
ELS-KS-09 #24 Joint Office of Children, Youth and Families & Office of Child Development and Early Learning Bulletin: Implementation of Child Care Funding Policy Beginning State Fiscal Year 2010-2011 07/14/09
ELS-KS-09 #25 Keystone STARS TA Manual and Forms 07/17/09
ELS-KS-09 #37 Accessing Early Learning Network and Work Sampling and Ounce Online 09/18/09
ELS-KS-09 #38 Centers for Disease Control Guidance Regarding Influenza for Early Childhood Programs 09/21/09
ELS-KS-09 #39 Use of Hand Sanitizers in Early Childhood Programs 09/25/09
ELS-KS-0 #40 STARS Designation Renewal Process 09/30/09
ELS-KS-09 #43 STARS Status Review, Suspension & Removal Process 10/19/09
ELS-KS-09 #44 Update on Early Learning Network and Child Outcome Reporting in 2009-2010 10/19/09
ELS-KS-09 #46 Reporting Child Care Center Closings Due to Influenza 10/23/09
ELS-KS-09 #47 Excluding and Readmitting Children and Staff with Influenza-like Illness 10/26/10
2010 ELS-KS-10 #03 Pennsylvania Quality Assurance System (PAQS) Requirements 03/08/10
ELS-KS-10 #05 Keystone STARS Staff Qualification Waiver with Action Plan 04/16/10
ELS-KS-10 #11 Revised Record Required by Providers for FY 04-05 or FY 05-06 06/18/10
ELS/KS-10 #16 Certification Referral to the Regional Key 07/30/10
ELS/KS-10 #21 STARS Designation Forms And Tools 08/24/10
ELS/KS-10 #27 Financial Guidelines for Regional Keys 10/01/10
ELS/KS-10 #29 Funds Management of Keystone STARS Provider Grant Awards 10/28/10
ELS/KS-10 #32 Keystone STARS Media Materials 11/29/10
ELS/KS-10 #37 Regional Keys Records Management, Conversions and Transmissions 12/27/10
2011 ELS/KS-11 #10 Keystone STARS Tiered Reimbursement 05/27/11
ELS/KS-11 #09 Collaboration between Child Care Information Services Agencies, the PA Keys and Local Education and Resource networks (LEARN) 05/06/11
ELS/KS-11 #10 Keystone STARS Tiered Reimbursement 05/27/11
ELS/KS-11 #15 Keystone STARS Optional Tools 7/7/2011
ELS-KS-11 #20 2011-2012 Receipts Collection and Receipts Summary Form Guidelines 7/28/2011
ELS-KS-11 #21 Act 24 of 2011 Implementation—
PELICAN Data Moratorium—PELICAN Keys to Quality (K2Q)
8/1/2011
ELS-KS-11 #22 Act 24 of 2011 Implementation—
PELICAN Data Moratorium—Early Learning Network (ELN) Keystone STARS
8/1/2011
ELS-KS-11 #23 Keystone STARS Technical Assistance Accountability Plan (STARS-TAAP) and Data Collection 8/11/2011
2012 ELS-KS-12 #02 STARS Designation Certificates—
Revised
2/09/2012
ELS-KS-12 #03 STARS Enrollment Calculation Tool: Full-Time Equivalency (FTE) Revision 2/28/2012
ELS-KS-12 #05 Keystone STARS Qualifications Action Plans Revised 3/13/2012
ELS-KS-12 #06 Career Lattice Level for College Students Pursuing a Bachelor's Degree 3/20/2012
ELS/KS-12 #07 Organizational PQAS Requirements 6/22/2012
ELS/KS-12 #08 Keystone STARS Performance Standards for Centers 6/25/2012
ELS/KS-12 #09 Keystone STARS Worksheets for Centers 6/1/2012
ELS/KS-12 #10 REVISED Keystone STARS Performance Standards for Group Homes 7/16/2012
ELS/KS-12 #11 REVISED Keystone STARS Worksheets for Group Homes 7/16/2012
ELS/KS-12 #12 Use of SMART Database by Designators Specialists and Managers 6/25/2012
ELS/KS-12 #13 Pennsylvania Director Credential for Keystone STARS 6/26/2012
ELS/KS-12 #14 Environment Rating Scale (ERS) Process 6/27/2012
ELS/KS-12 #15 ERS Achievement/ Non-Achievement Protocol 6/27/2012
ELS/KS-12 #16 ERS Intranet Communication Tool 6/27/2012
ELS/KS-12 #17 Canceling or Refusing ERS Windows and Visits 7/2012
ELS/KS-12 #18 Pennsylvania Early Learning Keys to Quality Career Lattice, Early Childhood Education Teacher Quality: Recognizing High Quality in Pennsylvania and Alternative Pathways 6/27/2012
ELS/KS-12 #19 Online Facility Professional Development Plan Survey Collection 6/27/2012
ELS/KS-12 #20 Keystone STARS Worksheets for Head Start 6/28/2012
ELS/KS-12 #21 Keystone STARS Worksheets for School Age Child Care (SACC) 6/28/2012
ELS/KS-12 #22 REVISED Keystone STARS Performance Standards for Family Child Care Homes 7/16/2012
ELS/KS-12 #23 REVISED Keystone STARS Worksheets for Family Child Care Homes 7/16/2012
ELS/KS-12 #24 Keystone STARS Grant Agreement 7/06/2012
ELS/KS-12 #25 Good Better Best—Pennsylvania's CQI Guide to Best Practices Version 2.1 for Centers—Groups and version 1.1 for Family 7/25/2012
ELS/KS-12 #26 Keystone STARS Exit Survey 8/06/2012
ELS/KS-12 #27 2012-2013 STARS Merit and Education and Retention Award (MERA) Requests 9/26/2012
2013 ELS/KS-13 #01 Authentic Assessment Reimbursement 1/7/2013
ELS/KS-13 #02 Regional Keys Program Review Instrument (PRI) and Monitoring Documents
Nurse Family Partnership
2008 ELS/NFP #01 OCDEL Announcements 01/08/08
ELS/NFP #02 County Needs-Based Budget Funding for Nurse-Family Partnership Services 01/08/08
ELS/NFP #03 Documentation for Unserved Clients Requesting Service 01/08/08
2009 ELS/NFP #06 NFP Enrollment Policies and Reporting Procedures 07/20/09
ELS/NFP #07 Centers for Disease Control Guidance Regarding Influenza for Early Childhood Programs 09/21/09
ELS/NFP #08 Use of Hand Sanitizers in Early Childhood Programs 09/25/09
ELS/NFP #09 Reporting Child Care Center Closing Due to Influenza 10/23/09
ELS/NFP #10 Excluding and Readmitting Children and Staff with Influenza-like Illness 10/26/09
ELS-NFP #12 Management of State Funds 11/06/09
Bureau of Subsidized Child Care Services
2005 S-05 #04—Unemployment Compensation Claims Filed By Relative/Neighbor Providers Announcement 06/28/05
2007 S-07 #08—PA Pre-K Counts and Child Care Works: Enrollment and Release of Information Procedures 09/18/07
S-07 #09—Pelican Announcement 11/07/07
2009 S-09 #05 Care Level for Kindergarten Children Changing from Preschool (PSE) to Young School Age (YSA) 06/17/09
S-09 #13 Centers for Disease Control Guidance Regarding Influenza for Early Childhood Programs 09/21/09
S-09 #14 Use of Hand Sanitizers in the Early Childhood Programs 09/25/09
S-09 #16 Reporting Child Care Center Closings Due to Influenza 10/23/09
S-09 #17 Excluding and Readmitting Children and Staff with Influenza-like Illness 10/26/09
S-09 #18 Linking Pennsylvania Pre-K Counts and Child Care Works Subsidized Child Care 10/28/09
2010 S-10 #04 ELS Keys to Quality Regional Key Grantees Announced
2011 S-11 #06 Act 24 of 2011 Implementation PELICAN Data Moratorium 08/01/11
2012 S-12 #01 2012 Market Rate Survey-Subsidy Provider Rate Collection and Updates to Provider Agreement 03/12/12
S-12 #02 Child Care Information Services Grant for Fiscal Year 2012-13 03/21/12
S-12 S-12 #04 Decrease in Unregulated Provider Maximum Child Care Allowance 06/06/12
S-12 #05 2012-13 Relative/Neighbor Provider Agreement 6/26/12
S-12 #06 2012-13 In-Home Care Parent/Caretaker Provider Agreement 6/26/12
S-12 #07 2012-13 Regulated Provider Agreement 6/27/12
S-12 #08 Fiscal Year 2011-2012 Recap Submission Deadline 7/13/12
S-12 #09 Child Care Information Services Grant Amendment for Fiscal Year (FY) 2012-13 10/11/12
S-12 #10 Decrease in Regulated Provider Maximum Child Care Allowance & Increase in Keystone STARS Tiered Reimbursement 11/20/12
2013 13 #01 2013 Income Limits and Co-payment Guidelines 4/3/13

GUIDANCE MANUALS:
• Licensing Indicator System for Child Day Care Centers
• Licensing Indicator System for Group Day Care Homes

INTERNAL GUIDELINES:
• 00-94-10, Application of Child Day Care Service Regulations 10/21/94
• 00-95-03, Procedures for the Regulation of Child Day Care Facilities 02/13/95
• 00-11-01, Waiver of Child Care Facility Regulations 03/01/11


REVENUE

BUREAU OF ADMINISTRATIVE SERVICES, TAX FORMS SERVICE UNIT, 711 GIBSON BLVD., HARRISBURG, PA 17104-3218 OR TELEPHONE:
1-800-362-2050 (Toll-free number), or FAX requests to (717) 985-3234
• PA-100 PA Enterprise Registration Forms and Instructions Booklet
• PA-40 Personal Income Tax Inst. Book-Resident/Nonresident/Part-year Res. (order by year needed)
• PA-40 Personal Income Tax Return
 PA-40 Schedule A/B Interest Income/Dividend Income
 PA-40 Schedule C Profit or Loss from Business or   Profession (Sole Proprietorship)
 PA-40 Schedule C-EZ Short Form Profit from Business   or Profession
 PA-40 Schedule D Sale, Exchange or Disposition of   Property
 PA-40 Schedule E Rents and Royalty Income (Loss)
 PA-40 Schedule J/T Income from Estates or Trusts/
  Gambling and Lottery Winnings
 PA-40 Schedule O Other Deductions
 PA-40 Schedule SP Special Tax Forgiveness
 PA-40 Schedule UE Allowable Employee Business Ex-
  penses
 PA-40 Schedule W-2S Wage Statement Summary
• PA-40 Schedule F Farm Income and Expenses

• PA-40 Schedule G-L Calculation of Credit for Taxes Paid to Other States or Countries (Long Form)
• PA-40 Schedule G-R Reconciliation of Taxes Paid to Other States or Countries
• PA-40 Schedule G-S Calculation of Credit for Taxes Paid to Other States or Countries (Short Form)
• PA-40 Schedule NRH Instructions for Apportioning Income by Nonresident Individuals
• PA-40 Schedule OC Other Credits
• PA-40 Schedule W Employment Incentive Payments Credit
• Schedule PA-40X Amended
• Schedule 19 Sale of a Principal Residence
• PA-40EZ Personal Income Tax Instruction Book (order by year needed-prior to 1998)
• PA-40NR Personal Income Tax Instruction Book/Nonresidents (1995 & prior-order by year needed)
• PA-40T Personal Income Tax TeleFile Book (1998-2000-order by year needed-includes EZ single)
• PA-41 PA Fiduciary Income Tax Return
• PA-41 Schedule OI Other Information
• PA-41 Schedule A Interest Income and Gambling and Lottery Winnings
• PA-41 Schedule B Dividend and Capital Gains Distributions Income
• PA-41 Schedule D Sale, Exchange or Disposition of Property
• PA-41 Schedule DD Distribution Deductions
• PA-41 Schedule J Income from Estates or Trusts
• PA-41 Schedule RK-1 Resident Schedule of Share-holder/Partner/Beneficiary Pass Through Income, Loss and Credits
• PA-41 Schedule NRK-1 Nonresident Schedule of Share-holder/Partner/Beneficiary Pass Through Income, Loss and Credits
• Schedule PA-41X Amended
• PA-20S/PA-65 Partnership/PA S Corporation Information Return—(Available only through internet after 2008)
• PA-65I Partnership/S Corp Information Book (order by year needed) (Available only through internet after 2008)
• PA971 Innocent Spouse Relief
• PA-1000 Property Tax/Rent Rebate Instruction Book (order by year needed)
• PA8379 Injured Spouse Claim & Allocation
• PA8857 Request for Innocent Spouse Relief
• PA-8453 Pennsylvania Individual Income Tax Declaration for Electronic Filing
• PA-8879 Pennsylvania e-file Signature Authorization
• PA12507 Innocent Spouse Statement
• PA12508 Non-requesting Spouse Information
• PA12510 Innocent Spouse Information Request • PA20S-I S Corporation Tax Instruction Book (order by year needed—prior to 1997—was part of REV1200 book-beginning year 2002 will be part of PA65I book) (Available only through internet after 2008)
• PA-4R Public Transportation Assistance Fund Taxes/Fees Replacement Coupon/Inst.
• PA-40ESR(I) Declaration of Estimated or Estimated Withholding Income
• PA-40ESR(F/C) Declaration of Estimated or Estimated Withholding Income Tax for Fiduciary & Partnerships
• PA-1 Use Tax Return
• RCT-101D Declaration of de minimis PA Activity
• REV-23 Board of Appeals Practices and Procedures Brochure
• REV-39 Sales and Use Tax Appeal Schedule
• REV-65 Board of Appeals Petition Form
• REV-181 Application for Tax Clearance
• REV-183 Affidavit of Value Realty Transfer Tax
• REV-221 Sales & Use Tax Rate Chart
• REV-238 Out of Existence/Withdrawal Affidavit/Corp Tax
• REV-251 Tax Bulletin 53B and 53F Instructions Foreign Corp Clearance Cert./Withdrawal
• REV-252 Tax Bulletin 53C and 53E Security Clearance Cert./Domestic Out of Existence
• REV-253 Tax Bulletin 53D Instructions for Filing Corp Tax Reports
• REV-260 Petition for Refund Bd. of Finance and Revenue
• REV-276 Application for Extension of Time to File (PIT)
• REV-330 Electronic Funds Transfer (EFT) Program
• REV-331A Authorization for Electronic Funds Transfer Agreement
• REV-346 Estate Information Sheet
• REV-413I Instructions for Estimated Tax/PIT (Individuals)
• REV-413F Instructions for Estimated Tax/PIT (Fiduciaries)
• REV-413P/S Instructions for Estimated Tax/PIT (Partnership/Shareholders) (Available only through internet after 2008)
• REV-414I Worksheet for Estimated Tax/PIT (Individuals)
• REV-414F Worksheet for Estimated Tax/PIT (Fiduciaries)
• REV-414P/S Worksheet for Estimated Tax/PIT (Partner-ship/Shareholders) (Available only through internet after 2008)
• REV-419 Employee's Nonwithholding Application Certificate
• REV-443 IFTA Compliance Manual
• REV-459 Individuals, Estates, Trusts, Partnerships, Limited Liability Companies, Associations, S Corporations—Address and SSN or EIN Change or Correction Form
• REV-459B Consent to Transfer, Adjust or Correct PA Estimated Personal Income Tax Account
• REV-467 Authorization for Release of Tax Records
• REV-489 Article XI Safe Deposit Box
• REV-527 Taxpayer Rights Advocate
• REV-552 TeleFile/E-File Information Insert
• REV-554 Disclosure Statement/Taxpayer Rights Advocate
• REV-556 Taxpayer Request for Assistance
• REV-573 Property Tax/Rent Rebate Brochure
• REV-577 Estimated Tax Payments Brochure
• REV-580 Employer Withholding Brochure
• REV-581 Personal Income Tax Brochure
• REV-582 Corporation Taxes—Subchapter ''S'' Corporations and LLCs Brochure
• REV-584 Inheritance Tax Brochure
• REV-585 Sales & Use Tax Brochure
• REV-588 Starting a Business in PA (A Beginner's Guide)
• REV-610 Voluntary Disclosure Program Brochure
• REV-611 Determining Residency for PA PIT Purposes Brochure
• REV-612 Military Pay for PA PIT Purposes Brochure
• REV-617 Hiring Household Workers Brochure
• REV-618 PA Realty Transfer Tax and New Home Construction Brochure
• REV-625 Sale of Your Principal Residence for PA PIT Purposes Brochure
• REV-631 Tax Forgiveness for Personal Income Tax Brochure
• REV-636 Retirement-Traditional & Roth IRAs Brochure
• REV-637 CAQ-Unreimbursed Employee Business Expenses Brochure
• REV-670 Instructions for Completing Liquid Fuels & Fuel Tax Bond
• REV-672 Keystone Opportunity Zone Brochure—(ONLINE ONLY)
• REV-717 Retailers' Information Guide
• REV-745 Electronic Tax Filing for PA PIT Brochure
• REV-748 Electronic Services for PA Businesses Brochure
• REV-758 PA PIT for College Students Brochure
• REV-778 PA Tax Obligations for Out-of-State Vendors Brochure
• REV-791 Consumer Cigarette Use/Excise Tax Return for Cigarettes purchased after January 7, 2004 through October 31, 2009
• REV-793 Consumer Cigarette Use/Excise Tax Return for Cigarettes and/or Little Cigars purchased on or after November 1, 2009
• REV-819 Sales Tax Due Date Reminder Card
• REV-851F PA Inheritance & Estate Tax Act
• REV-853R Corp Tax Annual Payment/Extension Replacement Coupon
• REV-854R Corp Tax Filing Period/EIN/Address Change Form Replacement Coupon
• REV-857R Corp Tax Estimated Payment Replacement Coupon
• REV-860 Schedule L, M, N, C-5 and OA
• REV-861 Schedule DA Disposition of Assets
• REV-915 PA Small Games of Chance/Game Approval Form
• REV-934 Schedule of Non-Business Income
• REV-935 Use Tax for Businesses
• REV-956 Institution of Purely Public Charity Renewal Affidavit
• REV-976 Election by a Federal Sub-Chapter S Corporation to be a PA C Corporation
• REV-1026 Information on Motor Carriers Road Tax and IFTA
• REV-1026A Information on Motor Carriers Road Tax-PA Only
• REV-1076 Tax Bulletin 53A Instructions for Securing Bulk Sales Certificate
• REV-1111 Guide for Cigarette Licensees
• REV-1176 e-TIDES Administrative Access Change Request
• REV-1200 CT-1 Corporation Tax Instruction Book (order by year needed)
• REV-1220 Certificate of Exemption for Sales & Use Tax
• REV-1501 Instruction Book Inheritance Tax Resident
• REV-1601 Tax Credit Certification Request Form (Pennsylvania Employment Incentive Payment Program) • REV-1611 Notice of Interest Rate and Calculation Changes
• REV-1630 Underpayment of Estimated Tax by Individuals
• REV-1630A Underpayment of Estimated Tax by Individual Farmers
• REV-1630F Underpayment of Estimated Tax by Fiduciaries
• REV-1633 PIT Pamphlet No. 2, Taxation of Shareholders
• REV-1643 Listing of Tax Exempt PIT Obligations
• REV-1689 Computation of Installment Sale Income
• REV-1716 Employer Withholding Period Ending Due Dates
• REV-1729 Tax Information for Farmers Booklet
• REV-1730 PA Realty Transfer Tax General Information
• REV-1736 Instruction Book/Inheritance Tax Nonresident
• REV-1737A Nonresident Inheritance Tax Returns/Schedules
• REV-1742 PIT Pamphlet No. 3, Gain or Loss on Property Acquired prior to June 1, 1971/Sch. D-71
• REV-1748 Use Tax Brochure
• REV-1799A Time Limitations on the Filing of Appeal

REGULATIONS/PRONOUNCEMENTS
All regulations and revenue pronouncements issued by the Department of Revenue are published in Title 61 of the Pennsylvania Code. The Department does not print these documents. If you need to review a regulation or revenue pronouncement, please consult Title 61 of the Pennsylvania Code (www.pacode.com).

BUREAU OF CRIMINAL TAX INVESTIGATIONS, 5TH FL., STRAWBERRY SQ., HARRISBURG, PA 17128, TELEPHONE (717) 783-9685
• DCI-2 Cigarette Tax for Law Enforcement Pamphlet

BUREAU OF RESEARCH, PO BOX 281100, HARRISBURG, PA 17128-1100, TELEPHONE (717) 787-6300
• DOP3 Tax Compendium
• DOP4 Personal Income Tax Statistics
• DOP7 Statistical Supplemental to Tax Compendium
• DOP9 Statistical Report-Capital Stock/Franchise Tax/CNI Tax
• DOP12 Estimate Documentation

BUREAU OF INDIVIDUAL TAXES, PO BOX 280600, HARRISBURG, PA 17128-0600, TELEPHONE (717) 787-8346
• PA1436 Electronic Filing Test Package

THE PA LOTTERY, 1200 FULLING MILL ROAD, SUITE ONE, MIDDLETOWN, PA 17057, TELEPHONE (717) 702-8008 (*Or from Lottery Retailer Outlets)
• *All-Game Guide Brochure
• Compulsive Gambling Brochure
• Benefits and Rights for Older Pennsylvanians Booklet
• *RSL-3 Lottery Retailer License Application
• *RSL-209 Standard Claim Form
• *RSL-355 Beneficiary Statement
• *RSL-400 Lottery Fund Benefits Programs Brochure Comparative Statement of Income and Expenditures


STATE

POLICY STATEMENTS:

Secretary of the Commonwealth
• Use of Public Areas Outside the Capitol Complex, 49 Pa. Code §§ 61.1—61.3
• Returned Check Fee, 49 Pa. Code § 63.1
Contact: Kim Mattis (717) 772-5193

State Athletic Commission
• Athlete Agents, 58 Pa. Code §§ 41.1—41.3
Contact: Gregory Sirb (717) 787-5720

Bureau of Commissions, Elections and Legislation
• Lesser Offenses Incompatible with the Duties of a Notary Public, 4 Pa. Code § 165.1
Contact: Martha Brown (717) 783-0736

Bureau of Professional and Occupational Affairs

Commissioner of Professional and Occupational Affairs
• Schedule of Civil Penalties—Certified Real Estate Appraisers, 49 Pa. Code § 43.b.15
• Schedule of Civil Penalties—Nursing Home Administrators, 49 Pa. Code § 43b.17
• Schedule of Civil Penalties—Occupational Therapists and Occupational Therapy Assistants, 49 Pa. Code § 43b.19
• Schedule of Civil Penalties—Physicians and Other Board Regulated Practitioners, 49 Pa. Code § 43b.20
• Schedule of Civil Penalties—Massage Therapists, 49 Pa. Code § 43b.23
Contact: Cynthia Montgomery (717) 783-7200

State Board of Chiropractic
• Patient Records, 49 Pa. Code § 5.51a
Contact: Stephen Snyder (717) 787-7155

State Board of Dentistry
• Replacement of Dental Amalgams, 49 Pa. Code § 33.213
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 33.214
• Use of Lasers in the Dental Office, 49 Pa. Code § 33.215
• Requirement of Anesthesia Permit for Nonparenteral Premedication of Dental Patients, 49 Pa. Code § 33.344
Contact: Lisa Burns (717) 783-7162

State Board of Funeral Directors
• Funeral Supervisors and Funeral Directors on Active Duty, 49 Pa. Code § 13.251
• Profession of Funeral Directing, 49 Pa. Code § 13.252
Contact: Heidy Weirich (717) 783-3397

State Board of Medicine
• Expert Witnesses, 49 Pa. Code § 16.52a

• Disciplinary Guidelines for Use of Anabolic Steroids, 49 Pa. Code § 16.97
Contact: Tammy Dougherty (717) 783-1400

State Board of Nursing
• Scope of Practice Interpretations, 49 Pa. Code § 21.401
• General Functions of Registered Nurses, 49 Pa. Code § 21.411
• Venipuncture, Intravenous Fluids, Resuscitation and Respiration, 49 Pa. Code § 21.412
• Administration of Drugs, 49 Pa. Code § 21.413
• Functions of Licensed Practical Nurses, 49 Pa. Code § 21.414
Contact: Cindy Miller (717) 783-7142

State Board of Examiners of Nursing Home Administrators
• Temporary Permits, 49 Pa. Code § 39.17
• Subordinate Supervision, 49 Pa. Code § 39.18
Contact: Chris Stuckey (717) 783-7155

State Board of Optometry
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 23.101
Contact: Stephen Snyder (717) 783-7155

State Board of Osteopathic Medicine
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 25.291
Contact: Suzanne Smith (717) 783-4858

State Board of Pharmacy
• Radiopharmaceutical Prescriptions, 49 Pa. Code § 27.101
• Return to Stock of Undelivered Medication, 49 Pa. Code § 27.102
• Matters of Conscience, 49 Pa. Code § 27.103
Contact: Melanie Zimmerman (717) 783-7156

State Board of Physical Therapy
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 40.54
Contact: Michelle Roberts (717) 783-7134

State Board of Psychology
• Qualified Members of Other Recognized Professions, 49 Pa. Code § 41.7
• Department of Health Licensing of Substance Abuse Services Provided by Psychology Practices, 49 Pa. Code § 41.8
Contact: Chris Stuckey (717) 783-7155

State Board of Social Workers, Marriage and Family Therapists and Professional Counselors
• Department of Health Licensing of Substance Abuse Services Provided by Professional Counseling Practices, 49 Pa. Code § 49.17
Contact: Sandra Matter (717) 783-1389

State Board of Examiners in Speech-Language and Hearing
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 45.3
Contact: Sandra Matter (717) 783-1389

GUIDANCE MATERIALS:

Department of State
• Right to Know Policy
Contact: Heidi Barry (717) 783-3585

Bureau of Corporations and Charitable Organizations
• Registration Packets for Charitable Organizations, Professional Solicitors and Professional Fundraising Counsels
Contact: James Swoyer (717) 783-1720
• A Guide to Business Registration in Pennsylvania
Contact: Barbara Kennedy (717) 783-9210

Bureau of Professional and Occupational Affairs

• Policy Statement Interpreting the term ''Infectious, Communicable or Contagious Disease''
Contact: Cynthia Montgomery (717) 783-7200

State Board of Accountancy
• Special Notice Regarding CPE Changes
• Special Notice—CPE Certification and the 150 Semester Credit Education Requirement
• Peer Review General Information
• Summary of Amendments to the CPA Law—Act 73 of 2008
Contact: Sara Fox (717) 783-1404

State Board of Certified Real Estate Appraisers
• Special Notice—New College Degree Requirement
• Special Notice—Segmented Approach Extended to January 1, 2013
• Special Notice to Assistants Regarding Licensed Appraiser Trainee Regulation
• Special Notice to Certified Appraisers Regarding Licensed Appraiser Trainee Regulation
• Special Notice Regarding Mortgage Fraud
Contact: Heidy Weirich (717) 783-4866

State Board of Chiropractic
• List of Approved Continuing Education Programs
• Frequently Asked Questions
Contact: Stephen Snyder (717) 787-7155

State Board of Cosmetology
• Special Notice—Student Hours Required for Examination
• Special Notice—Letter Regarding Physician Certificate
• Frequently Asked Questions—Examination-related Questions and Responses
Contact: Kelly Diller (717) 783-7130

State Board of Crane Operators
• Special Notice—Physical Examination Requirement
• List of Board-approved Certifying Organizations
Contact: Penny Walker (717) 783-1404

State Board of Dentistry
• Special Notice: EFDA—Coronal Polishing CE Requirements
Contact: Lisa Burns (717) 783-7162

State Board of Landscape Architects
• Special Notice—Continuing Education Update
Contact—Terrie Kocher (717) 772-8528

State Board of Massage Therapy
• Frequently Asked Questions of the State Board of Massage Therapy
• Acceptable CPR for Massage Therapy License
• Special Notice: What to Expect When Applying for a License
• Guideline: Which Application to Use When Applying for Licensure
Contact—Judy Harner (717) 783-7155

State Board of Medicine
• Foreign Specialty Certification Boards That Have Been Deemed Comparable to American Boards
• Special Notice—Pennsylvania Health Alert Network
• Special Notice—Mcare Information and Reporting
• Medical Board Credentials Verification Fact Sheet
• Special Notice—Physician Assistant Temporary Authority to Practice and Substitute Supervisor Reporting Requirement Update
• Special Notice—Board Adopts USMLE Policy Regarding Maximum Limit of Six Attempts at the USMLE Step or Its Components
• Special Notice—Board Recognition of International Society for Clinical Densitometry (ISCD)
• Special Notice—PennDOT'S Medically Impaired Reporting Program
• Continuing Medical Education Fact Sheets
Contact: Tammy Dougherty (717) 783-1400

State Board of Nursing
• Guidelines for the Development and Submission of Feasibility and Curriculum Proposals (2009)
• Guidelines for Approved Nursing Education Programs for Establishing a Satellite/Branch Campus (2010)
• Nursing Practice Guide RN/LPN (1999)
• Alternative/Complementary Therapies (1997)
• Criteria for a Pennsylvania Board Approved Intravenous Therapy Education Program for the Student/Graduate/Licensed Practical Nurse (1995)
• Special Notice to Student Nurses
• Frequently Asked Questions (FAQs) for Graduate/Student Nurses
• Special Notice Regarding RN Continuing Education
• FAQs on Continuing Education for Registered Nurses
 • Information for CRNP Program Directors
• FAQs on CRNP Prescriptive Authority
• Special Notice—CRNP and CNS Clarification on Professional Liability Insurance
• Special Notice to Employers—Online Verification of Licensure
• Special Notice—RN Accepting Orders from Other Practitioners
• Special Notice—RNs Educated in Canada and Seeking Licensure in Pennsylvania
• Special Notice—Home Health Care Services Ordered by Out-of-State Physicians
• Special Notice—LPNs Accepting Oral Orders
• FAQs related to LPN IV Therapy Regulations
• Special Notice—Vital Statistics Law amended to include CRNPs
• Special Notice to Licensed Dietitian—Nutritionists on Continuing Education
• Special Notice on Temporary Practice Permits
• List of Approved Programs for LPN, RN, CRNP and CNS Education (updated as needed)
• List of Approved LPN Intravenous Therapy Education Programs (updated as needed)
Contact: Cindy Miller (717) 783-7142

State Board of Occupational Therapy Education and Licensure
• Special Notice: Professional Liability Insurance
• Special Notice: Changes to the Occupational Therapy Practice Act

State Board of Optometry
• Position Paper—American Board of Optometry (ABO) Board Certification
• List of Drugs Approved for use by Optometrists
• Special Notice—Criminal Background Checks
• Special Notice—Federal ''Fairness to Contact Lens Consumers Act''
• Special Notice—Explanation of L, P, T or G in License Numbers
Contact: Mary Sue Ferster (717) 783-7155

State Board of Osteopathic Medicine
• Special Notice—Pennsylvania Health Alert Network
• Special Notice—Mcare Information and Reporting
• Osteopathic Board Credentials Verification Fact Sheet
• Special Notice—Continuing Education Requirements
• Special Notice—Osteopathic Manipulative Treatment (OMT) Examination
Contact: Suzanne Smith (717) 783-4858

State Board of Pharmacy
• Special Notice Regarding Sales of Needles and Syringes
• Special Notice—USP 797
• Special Notice—Return to Stock of Unused Drugs
• Special Notice—Use of Pharmacy Technicians
• Special Notice—Technology and Automation Regulations
• Special Notice—Drug Therapy Management and Administration of Injectable Medications
• List of Approved CPR Providers for the Authorization to Administer Injectables, Biologicals and Immunizations
Contact: Melanie Zimmerman (717) 783-7156

State Board of Physical Therapy
• Special Notice—Physical Therapists Assistants to Practice with Indirect Supervision
• Special Notice—New Regulatory Requirements
• Webinar—The New Rules and Regulations (2013)
Contact: Michelle Roberts (717) 783-7134

State Board of Podiatry
• Special Notice—Pennsylvania Health Alert Network
• Podiatry Board Credentials Verification Fact Sheet
• Notice—Continuing Medical Education Requirements
Contact: Suzanne Smith (717) 783-4858

State Registration Board for Professional Engineers, Land Surveyors and Geologists
• Continuing Education Guidelines and Activity Log
Contact: Robin Shearer (717) 783-4865

State Board of Psychology
• Guidance Manual
• Guideline: Education Requirements
• Guideline: Persons Licensed in Other States
• Guideline: Requirements for Provision of Psychological Services Regardless of Delivery Method
• Special Notice—Parameters for Discussing the Patient's/Client's Need for Medication with a Patient/Client
• Special Notice—Changes in Education, Examination and Experience Requirements
• Special Notice—Application to Practice Psychology for Persons Licensed in Other States
• Special Notice—Supervision Course Requirement for Primary Supervisors of Psychology Residents
• Special Notice—Graduate Training in Psychology
Contact: Chris Stuckey (717) 783-7155

State Real Estate Commission
• Continuing Education Policy Concerning Courses Taken Outside of Pennsylvania
• Information Regarding ''Team'' Advertising
• Information Regarding BPOs vs. CMAs
• List of Currently Approved Real Estate Education Providers
• List of Providers Approved to Offer Modules
Contact: Patricia Ridley (717) 783-3658

State Board of Examiners in Speech-Language and Hearing
• A Consumer Guide to Understanding Audiologists
• A Consumer Guide to Understanding Speech-Language Pathologists
• Special Notice—New Continuing Education (CE) Requirements for Dual Licensees
• List of Approved CE Programs
Contact: Sandra Matter (717) 783-1389

State Board of Social Workers, Marriage and Family Therapists and Professional Counselors
• FAQ—Application Process to Apply for Initial Licensure
• Notice Under the Americans with Disabilities Act
Contact: Sandra Matter (717) 783-1389

State Board of Vehicle Manufacturers, Dealers and Salespersons
• Special Notices:
Out-of-state Recreational Vehicle Dealers
Online Initial Licensure
Current Vehicle Board Policies
Criminal Background Check/Criteria
Hand delivery of Application
Contact: Janice Cline (717) 783-1697

State Board of Veterinary Medicine
• Special Notice—Aphis Approved Supplemental Training
• Special Notice—Veterinary Medical Recordkeeping
• Special Notice—Dog Law Changes—Boarding Kennel License Required
• List of Approved CE Programs
Contact: Michelle Roberts (717) 783-7134

Bureau of Commissions, Elections and Legislation
• Secretary's Advisories to County Election and Voter Registration Officials
• Election Calendars• Instructions for Filing as a Candidate of a Minor Political Party
• Instructions for Filing as an Independent Candidate
• Nomination Petitions
• Nomination Papers
• Notice on What Constitutes a Vote
• Voting System Certification Reports
Contact: Jessica Mathis (717) 787-5280
• Non-Bid Reporting Forms

• Lobbying Disclosure Registration and Reporting Forms
• Lobbying Statute, Regulations, Frequently Asked Questions (FAQs) and Manual for Accounting and Reporting
• Campaign Finance Registration and Reporting Forms
• Campaign Finance Calendar of Filing Deadlines
• Campaign Finance Reporting Law Pamphlet
• Campaign Finance Reporting Law Frequently Asked Questions
Contact: Trisha Malehorn (717) 787-5280
• Voter Registration Mail Application (English and Spanish)
• 2011 Report to the General Assembly—The Administration of Voter Registration in Pennsylvania
• Absentee Ballot Forms
• Voter Hall of Fame Inductees
• A Guide to Agency-Based Voter Registration Programs
• Voter ID Handout
• PA Voter ID Law—General FAQ
• PA Voter ID Law—Military Voters
• PA Voter ID Law—Care Facilities
• PA Voter ID Law—College and Universities
• PA Voter ID Law—Local Government
• PA Voter ID Law—Homeless
• PA Care Facility Assisted Living Residences
• PA Care Facility Long Term Care Facilities
• PA Care Facility Personal Care Homes
• PA Institutions of Higher Learning
Contact: Jessica Mathis (717) 787-5280
• The Commonwealth of Pennsylvania State Plan (as required by the Help America Vote Act of 2002)
• Elections News Poster (English and Spanish)
• Voter ID Law Educational Posters (English and Spanish)
• Pennsylvania Voting Guide (English)
• Electronic version of Pennsylvania Voting Guide for New Citizens (English and Spanish) (votespa.com)
• Electronic Officials Training Video for Voters with Disabilities (English)
• Election Officials Training Program Video (English and Spanish)
• Help America Vote Act (HAVA) Remedial Action Procedures for Reporting Non-Compliance
• HAVA Program Advisories
• HAVA Quarterly Working Capital Request and Performance Report Form with Instructions
• HAVA Quarterly Reimbursement Request and Performance Report Form with Instructions
• Maintenance of Effort Certification Form and Instructions
• HAVA Fiscal Requirements Document
• County Manual for HAVA Reporting
Contact: Julio Pe|fna 787-5280

INTERNAL GUIDELINES:

Bureau of Professional and Occupational Affairs
• Recusal Guidelines for Board Members
Contact: Cynthia Montgomery (717) 783-7200

State Architects Licensure Board
• Architect/Engineer Joint Advisory Committee
Contact: Penny Walker (717) 783-3397

State Board of Dentistry
• Probable Cause Screening Committee Guidelines
Contact: Lisa Burns (717) 783-7162

State Board of Medicine
• Probable Cause Screening Committee Guidelines
• Mcare Triage Guidelines
Contact: Tammy Dougherty (717) 783-1400

Navigation Commission for the Delaware River and Its Navigable Tributaries
• Internal Operating Procedures Involving Inactive Status of Pilots
Contact: Barbara Dupler (717) 783-1618

State Board of Examiners of Nursing Home Administrators
• Guidelines for Continuing Education Audit
Contact: Chris Stuckey (717) 783-7155

State Board of Optometry
• Probable Cause Screening Committee
Contact: Stephen Snyder (717) 783-7155

State Board of Osteopathic Medicine
• Probable Cause Screening Committee Guidelines
• Mcare Triage Guidelines
Contact: Suzanne Smith (717) 783-4858

State Board of Physical Therapy
• Probable Cause Screening Committee Guidelines
Contact: Michelle Roberts (717) 783-7134

State Registration Board for Professional Engineers, Land Surveyors and Geologists
• Architect/Engineer Joint Advisory Committee
Contact: Robin Shearer (717) 783-4865

State Board of Psychology
• Probable Cause Screening Committee Guidelines
Contact: Chris Stuckey (717) 783-7155

State Real Estate Commission
• Internal Operating Guidelines
• Probable Cause Screening Committee Guidelines
Contact: Patricia Ridley (717) 783-3658

State Board of Veterinary Medicine
• Probable Cause Screening Committee Guidelines
• Inspection Checklist
Contact: Michelle Roberts (717) 783-7134


STATE EMPLOYEES' RETIREMENT SYSTEM

SERS Board Adjudications by Topic:
 o Change of Benefit Option
 o Cost of Living Increase
 o Credit for Contract Service
 o Credited Years of Service
 o Death Benefit
 o Disability
 o Effective Date of Retirement
 o Final Average Salary
 o Fraternal Order of Police
 o Frozen Present Value
 o Judicial Forfeiture/Purchase of Military Service Credit
 o Membership Eligibility
 o Military Service
 o Miscellaneous
 o Multiple Service Credit
 o Overpayment
 o Payment of Interest
 o Pension Forfeiture
 o Purchase of Service
 o Reinstatement
 o Retirement-Covered Compensation
 o Transfer to Alternate Retirement Plan
• Annual Guide to Your SERS-Issued 1099-R Tax Form
• SERS Member's Guide to Disability Retirement
• SERS Member Handbook
• SERS Guide for Retiring Members
• Annual Member (Personalized) Account Statements:
 o Statement of Account (for active members)
 o Personal Statement of Retirement Benefits (for annuitants)
• SERS pamphlets:
o Classes of Service (SERS-150)
o Domestic Relations and Support Orders (SERS-157)
o Frozen Present Value: Its Impact on State Pensions (SERS-158)
o How to Apply for a Disability Retirement (SERS-152)
o Provisions for the Purchase of Service (SERS-155)
o Refund Procedures for those Leaving State Service (SERS-159)
o Retirement Benefits available to Pennsylvania State Police (SERS-153)
o Retirement Options for SERS Members (SERS-154)
o Social Security Integration Coverage for SERS Members (SERS-151)
o Vesting in the State Employees' Retirement System (SERS 162)
o Important Information Regarding Appeals to the State Employees' Retirement Board (SERS-412)
• SERS Mission Statement
• SERS Statement of Investment Policy
• SERS Alternative Investments Statement of Investment Policy
• SERS Real Estate Statement of Investment Policy
• SERS Proxy Voting Policy
• SERS Public Markets Investment Advisor Retention Guidelines
• SERS Strategic Investment Plan
• SERS Portfolio Rebalancing Policy
• SERS Security Lending Policy
• SERS Right-to-Know-Law Policy
• The FOP Decision: The resolution of the SERS Board of Trustees dated September 26, 1990, implementing the arbitration award issued February 17, 1988, in Commonwealth of Pennsylvania v. Commonwealth of Pennsylvania State Police Lodges, American Arbitration Association Case No. 14 390 1611 87 J (Thomas J. DiLauro, Chair)
• ''SERS News'' member newsletter (2 editions per year)
• SERS Comprehensive Annual Financial Report (published each June)
• DCP Annual Financial Statements
• Sample Domestic Relations Order and Instruction Letter
• Power of Attorney form
• SERS Board Minutes and Resolutions
• Actuarial Reports (annual and ''5-Year Experience Study'')
• Actuarial Tables
• SERS Appeals Committee Guidelines for Informal Appeals
• SERS Securities Litigation Policy
• SERS Bylaws
• Ethical Conduct Policy
• Claim Settlement Policy
• Statement of Governance Principles
• Policy for Indemnification of Board Members, Designees, Officers and Employees
• SERS Mediation Policy
• Annual Supplemental Budget Information
• Management Directives issued by SERS:
 o 570.1—State Employees' Retirement System, Duties of Departments and Agencies
 o 570.5—Employer Contributions Required on the Purchase of Previously Uncredited State Service
 o 570.6—Optional Membership in State Employees' Retirement System
 o 570.8—Reinstatement of Dismissed or Furloughed Employees Into The State Employees' Retirement System
 o 570.9—Reinstatement Into the State Employees' Retirement System of Employees Furloughed or Otherwise Terminated and Reemployed
 o 570.11—Changes to Retirement and Personnel Payroll System and Collection of Arrears Balances
 o 570.12—Refusal of Recall From Furlough—Termin-ation of Interest on Retirement Contributions
 o 570.13—State Employees' Retirement System, Regional Field Offices
 o 570.14—Deferred Compensation Program
 o 570.15—Public Employee Pension Forfeiture Act No. 1978-140


STATE POLICE

GUIDANCE MANUALS, BROCHURES, FORMS AND OTHER MATERIALS

Bureau of Criminal Investigation
Terrorism Tip Line Card
Storage Facility Terrorism Indicator Card

Bureau of Human Resources
Liquor Enforcement Employment Information
General Information Brochure (SP5-348)

Bureau of Liquor Control Enforcement
Bureau of Liquor Control Enforcement Brochure
Choices Program Brochure

Bureau of Patrol
Emergency Vehicle Designation (SP6-115)
Child Safety Seat Identification Decal (SP6-153)

Bureau of Professional Responsibility
Complaint Verification Form (SP1-108)

Bureau of Records and Identification
Information for Pennsylvania Firearms Purchasers and  Basic Firearm Safety (SP4-135)
Application/Record of Sale (SP4-113)
Request for Criminal Record Check (SP4-164)
Right to Know Form (SP3-226)
Notice of Crash Investigation and Application to Obtain  Copy of Police Crash Reporting Form (SP7-0015)
Pennsylvania Instant Check System Challenge Form  (SP4-197)

Bureau of Research and Development
Pennsylvania Annual Police Pursuit Report (1998-2012)
http://www.paucrs.pa.gov/ucr/reporting/pursuit/annual/
 annualpursuitui.asp
Pennsylvania State Police Annual Report (1998-2006)
http://www.portal.state.pa.us/portal/server.pt?open=
 512&objID=4451&&PageID=461618&level=2&css=
 L2&mode=2
Crime in Pennsylvania: Uniform Crime Executive Sum-
 mary (2000-2012)
http://www.paucrs.pa.gov/UCR/Reporting/Annual/
 AnnualSumArrestUI.asp

Bureau of Training and Education
Youngster Protect Yourself from Attacks and Accidents  (SP5-330)
Stop Burglary Brochure (SP5-331)
Crimes of Fraud: ''The Con-Artist'' (SP5-332)
Lady Beware (SP5-333)
Understanding Crime Prevention (SP5-334)
Accessing Your Pennsylvania State Police (SP5-335)
Protect Your Child (SP5-336)
Preventing Child Abduction and Child Runaway (SP5-
 337)
Drugs Aren't Part of Anyone's Future (SP5-342)
Child Identification Kit (SP5-342)
Pennsylvania State Police: A Challenging Career That  Makes a Difference (SP5-359)
Pennsylvania State Police General Information (SP3-313)

Equal Employment Opportunity Office
Pennsylvania State Police Equal Employment Opportu-
 nity Policy Statement Sexual Harassment, Sexual Mis-
 conduct Policy and Complaint Procedures Pamphlet  (SP5-355)

Municipal Police Officers Education and Training Commission
Lethal Weapons
 Application for Agent Certification—LWTA (SP8-200)
 Physical Examination—LWTA (SP8-200A)
 Police Officer Exemption Application—LWTA (SP8-
  200C)
 Active Municipal Office LWTA Verification Procedure   for Training Waiver (SP8204)

MPOETC
 Application for Certification under MPOETC Program   or Training (SP8-300)
 Application for Police Officer Certification Examination   Scheduling Under Act 120
 Change of Status Notice (SP8-502)
 Physical Examination (SP8-300C)
 Police Authority Registration Request
 Psychological Examination (SP8-300D)
 Instructor Application (SP8-301)
 School Authorities Form
 MPOETC Policy 2012-05, Consideration for Reinstate-
  ment of Certification
 Application for Consideration of Reinstatement of Certi-
  fication

All of the non-regulatory compliance-related documents listed above are available from the Pennsylvania State Police by contacting the Department at the following address or phone number:

Pennsylvania State Police
Bureau of Research & Development
1800 Elmerton Avenue
Harrisburg, PA 17110
(717) 783-5536

Documents are also available from the State Library, Government Publication Section at 219 Forum Building, Harrisburg, PA 17120 and may be obtained through inter-library loan.


TRANSPORTATION

Bureau Responsible: BUREAU OF DRIVER LI-
 CENSING
Category: GUIDANCE MANUALS
Publication / Document Name: Pennsylvania Driver's  Manual (English)
Pub/Doc#: Pub 95
Publication last Updated: March 2013

Bureau Responsible: BUREAU OF DRIVER LI-
 CENSING
Category: GUIDANCE MANUALS
Publication / Document Name: Pennsylvania Driver's  Manual (Spanish)
Pub/Doc#: Pub 95S
Publication last Updated: March 2013

Bureau Responsible: BUREAU OF DRIVER LI-
 CENSING

Category: GUIDANCE MANUALS
Publication / Document Name: A Guide to Obtaining a  Pennsylvania Junior Learner's Permit and Junior Driv-
 er's License
Pub/Doc#: Pub 178
Publication last Updated: June 2012

Bureau Responsible: BUREAU OF DRIVER LI-
 CENSING
Category: GUIDANCE MANUALS
Publication / Document Name: Commercial Driver's  Manual
Pub/Doc#: Pub 223
Publication last Updated: June 2012

Bureau Responsible: BUREAU OF DRIVER LICENSING
Category: GUIDANCE MANUALS
Publication / Document Name: Motorcycle Operator  Manual
Pub/Doc#: Pub 147
Publication last Updated: January 2013

Bureau Responsible: BUREAU OF PROJECT DELIVERY
Category: INTERNAL GUILDELINES
Publication / Document Name: Project Office Manual  (POM)
ftp://ftp.dot.state.pa.us/public/pdf/BOCM_MTD_LAB/
 PUBLICATIONS/POM/POMcover.pdf
Pub/Doc#: Pub 2
Publication last Updated: Electronic April 2013

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: OTHER
Publication / Document Name: Geotechnical Investigation  Manual
Pub/Doc#: Pub 222
Publication last Updated: June 2012

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: OTHER
Publication / Document Name: Aggregate Producers (Bul-
 letin 14)
http://www.dot.state.pa.us/Internet/ConstrBulletins.nsf/
 frmBulletin14?OpenFrameset
Pub/Doc#: Pub 34
Publication last Updated: Electronic—Updated Weekly
 Paper—Jan 2013

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: OTHER
Publication / Document Name: Producers of Bituminous  Mixtures (Bulletin 41)
http://www.dot.state.pa.us/Internet/ConstrBulletins.nsf/
 frmBulletin41?openframeset
Pub/Doc#: Pub 41
Publication last Updated: Electronic—Updated Weekly
 Paper—Jan 2013

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: OTHER
Publication / Document Name: Producers of Ready Mix  Concrete (Bulletin 42)
http://www.dot.state.pa.us/Internet/ConstrBulletins.nsf/
 frmBulletin42?openframeset
Pub/Doc#: Pub 42
Publication last Updated: Electronic—Updated Weekly
 Paper—Jan 2013

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: OTHER
Publication / Document Name: Approved Construction  Materials (Bulletin 15)
ftp://ftp.dot.state.pa.us/public/pdf/BOCM_MTD_LAB/
 PUBLICATIONS/PUB_35/BULLETIN_15.pdf
Pub/Doc#: Pub 35
Publication last Updated: Electronic—Updated Weekly
 Paper—N/A

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Roadway Specifications
ftp://ftp.dot.state.pa.us/public/bureaus/design/pub408/
 pub%20408-2011.pdf
NOTE: Pub 7 and Pub 287 are part of this document
Pub/Doc#: Pub 408
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Construction Items Cata-
 log
ftp://ftp.dot.state.pa.us/public/bureaus/design/pub408/
 pub 408-2011.pdf
Pub/Doc#: Pub 7
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Roadway Specifications
ftp://ftp.dot.state.pa.us/public/bureaus/design/pub408/
 pub%20408-2011.pdf
NOTE: Pub 7 and Pub 287 are part of this document
Pub/Doc#: Pub 408
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY
Category: GUIDANCE MANUAL
Publication / Document Name: Project level Air Quality  Handbook
Pub/Doc#: Pub 321
Publication last Updated: Sept-12

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: GUIANCE MANUAL
Publication / Document Name: Cultural Resources Hand-
 book
Pub/Doc#: Pub 689
Publication last Updated: March-13

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: INTERNAL GUIDELINES
Publication / Document Name: Finals Unit Manual (Pub.  11) (Guidance for Highway Construction Project Close-
 outs)
Pub/Doc#: Pub 11
Publication last Updated: May-12

Bureau Responsible: BUREAU OF PROJECT DE-
 LIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Design Manual, Part 2  August 2009 Edition
ftp://ftp.dot.state.pa.us/public/bureaus/design/pub13m/
 insidecover.pdf
Pub/Doc#: Pub 13M
Publication last Updated: Jan 2013

Bureau Responsible: EQUAL OPPORTUNITY
Category: GUIDANCE MANUALS
Publication / Document Name: 2013 External Equal  Opportunity Plan (Contract Compliance)
Pub/Doc#:
Publication last Updated: Feb-13

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: Disability-Related Employ-
 ment Policy for Applicants/Employees with Disabilities
Pub/Doc#:
Publication last Updated: Feb-13

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: EEO Policy Statement
Pub/Doc#:
Publication last Updated: Feb-13

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: Harassment/Hostile Work Environment Policy
Pub/Doc#:
Publication last Updated: Feb-13

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: Sexual Harassment Policy  Statement
Pub/Doc#:
Publication last Updated: Feb-13

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: 2010 Internal Equal Em-
 ployment Opportunity Plan State
Pub/Doc#:
Publication last Updated: Mar-13

Bureau Responsible: BUREAU OF PUBLIC TRANS-
 PORTATION

Category: OTHER
Publication / Document Name: Pennsylvania Public  Transportation Annual Performance Report—Transit  Agency Profiles Fiscal Year 2011-12
Pub/Doc#:
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF MAINT & OP-
 ERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Light Weight Profiling  System—Calibration Verification and Operator Certifi-
 cation Program Manual
Pub/Doc#: Pub 589
Publication last Updated: Apr-12

Bureau Responsible: BUREAU OF MAINT & OP-
 ERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Automated Pavement Con-
 dition Surveying Field Manual
Pub/Doc#: Pub 336
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF MAINT & OP-
 ERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: CRC Pavements and Un-
 paved Roads Condition Survey Field Manual
Pub/Doc#: Pub 343
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF MAINT & OP-
 ERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Shoulder and Guide Rail  Condition Survey Field Manual
Pub/Doc#: Pub 33
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF MAINT & OP-
 ERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Drainage Condition Sur-
 vey Field Manual
Pub/Doc#: Pub 73
Publication last Updated: Apr-13

Bureau Responsible: BUREAU OF MAINT & OP-
 ERATIONS
Category GUIDANCE MANUAL
Publication / Document Name: Waste Site Evaluation  Procedures for the Highway Project Development Pro-
 cess
Pub/Doc#: Pub 281
Publication last Updated: December 2012

[Pa.B. Doc. No. 13-1471. Filed for public inspection August 2, 2013, 9:00 a.m.]



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