[45 Pa.B. 4493]
[Saturday, August 8, 2015]
[Continued from previous Web Page] V. Office of Juvenile Justice and Delinquency Prevention
Funding announcements that provide guidelines and requirements for applicants:
• Juvenile Defender Association of PA for Statewide Defender Training Project (Federal JAG Funds), March 2015
• Commonwealth Prevention Alliance for conference support (State VPP Funds), April 2015
• CCAP Data Collection Database for PACTT (State DHS Funds), August 2015
• Mericle Fund for Children in Luzerne County (Settlement Funds), August 2015
• OJJDP Substance Abuse Education and Demand Reduction Category 1 Research-Based Approaches (State SAEDR Funds), August 2015
• Balanced & Restorative Justice System Enhancement Training Project (Federal JAG Funds), August 2015
• PA District Attorneys Institute for Statewide Prosecutor Training Project (Federal JAG Funds), August 2015
• PA Academic and Career/Technical Training (State DHS Funds) October 2015
• Pennsylvania's Communities That Care (CTC) (Statewide Initiative (Juvenile Justice and Delinquency Prevention Funds) March 2015
• Western Psychiatric Institute and Clinic—University of Pittsburgh Medical Center (Federal JJDP) March 2015
• 2015 Violence Prevention Programs—-New Programs (State VPP Funds)
• 2015 VPP Standard Programs (State VPP Funds)
• 2015 Diversion Evaluation Project (Federal JJDP)
• 2015 Disproportionate Minority Contact Community Initiatives (Federal JJDP) June 2015
• 2015 Chiefs Council Training/Technical Assistance (Federal JJDP funds) August 2015VI. Office of Victims' Services
A. Victims Compensation
• Victims Compensation Claim Form. (Standard) (Updated 6/10)
• Victims Compensation Claim Form. (One Page) (Updated 4/13)
• Spanish Signature Page (11/06)
• Financial Assistance for Victims of Crime pamphlet (English 6/10, Spanish 02/11 and Braille)
• Compensation Resource Guide for Victim Service and Allied Professionals brochure (English and Spanish). (Updated 3/12)
• Victim Advocate Manual—rewritten 2010 and merged with Standard Operating Guidelines • Victims Compensation Assistance Program Standard Operating Guidelines. (merged with Victim Advocate Manual)
• DAVE Brochure for online access of compensation claims, updated 04/08
• Brochure of victim resources/materials request form, current 2007
• Restitution/Compensation Brochure (new 5/08)
• Stolen Benefit Cash Claim form (updated 4/09)
• Vehicular Claim Addendum Form (updated 3/07)
• Large Print VCAP Short form (updated 4/06)
• VCAP Victim Response Surveys (Updated 10/11)
• Emergency Compensation Award Application (updated 8/10)
• Forensic Rape Examination Claim Form (updated 10/11)
• Protocols and Billing Procedures for Forensic Rape Examinations (updated 6/11)
• Handout Pads (English and Spanish) and Braille (updated 12/07)
• Law Enforcement Poster (updated 7/05)
• Public Awareness Posters (5/08)
• Law Enforcement Fact Sheet (4/08)
• Relocation Expenses (4/07)
• Compensation Benefits for Child Victims and their Families (9/08)
• Law Enforcement Victims Right Guide (11/13)
o ENGLISH Guide, Black and White (11/13)
o ENGLISH Extra Sheet, Black and White (11/13)
o ENGLISH Guide, Color (11/13)
o ENGLISH Extra Sheet, Color (11/13)
o SPANISH Guide, Black and White (11/13)
o SPANISH Extra Sheet, Black and White (11/13)
o SPANISH Guide, Color (11/13)
o SPANISH Extra Sheet, Color (11/13)
• SAVIN Poster (English/Spanish)
• SAVIN Brochure (English) (10/10)
• SAVIN Brochure (Spanish) (10/10)
• SAVIN Brochure (Bosnian) (10/10)
• SAVIN Brochure (Mandarian) (10/10)
• SAVIN Brochure (Vietnamese) (10/10)
• SAVIN Brochure (Russian) (10/10)
• SAVIN Tear-Off Pad (English/Spanish)B. Victims Services
• VOCA Funding Committee Requirements, revised May 2014
• Consolidated Victim Service Program Standards, Revised 2014
• STOP Violence Against Women Funding Announcement, 2013—2015
• Rights and Services Act (RASA) Funding Announcement 2015—2016
• VOCA Funding Announcement, 2013—2015
• Victims of Juvenile Offender Funding Announcement 2015
• VOCA Funding Guideline Amendment: Mass Violence, 2000
• PDAI Training and Technical Assistance Funding Announcement 2014
• STOP PCAR/PCADV Training and Technical Assistance Initiative Funding Announcement 2015
• PA Chiefs of Police Association VCAP Funding Announcement 2014
• Substance Abuse Demand Reduction and Education Funding Announcement 2014
• Statewide Crisis Response Initiative Funding Announcement 2014
• Sexual Assault Services Funding Announcement, 2014
• PA Chiefs of Police Association STOP Virtual Training Funding Announcement, 2015
• STOP Judicial Funding Announcement, 2015
• STOP Prison Rape Elimination Act Funding Announcement, 2015
• PDAI-PA SAVIN Maintenance Funding Announcement, 2015
• VOCA Statewide Funding Announcement, 2013-2015
• Pennsylvania's STOP Implementation Plan, 2014
• Office of Victim Services Monitoring Guidelines, 2013VII. Office of Research Evaluation and Strategic Planning
• 2014 Accredited/Associate Child Advocacy Centers
• 2015 Mobile Child Advocacy Center
• Accredited (CACs)—PA Population Distribution Analysis-Under 18 (Nov. 2014)
• Associate (CACs)—PA Population Distribution Analysis-Under 18 (Nov. 2014)
• Child Abuse and Neglect Prevention Programs in Pennsylvania: Staff Study (Joint State Gov't Commission)
• Child Advocacy Center and MDIT Development—2014
• Child Advocacy Center Statewide Plan Development: Technical Assistance to the Commonwealth of Pennsylvania
• Endowment Act—Child Advocacy Centers
• Endowment Act—Direct Victim services Org.
• Endowment Act—Programs Assisting Victims
• Endowment Act—Treatment Training
• Endowment Act Planning Session Results
• Justice Reinvestment Initiative: Maximizing State Reforms—U.S. Department of Justice/Bureau of Justice Assistance
• Mobile Child Advocacy Center—2015
• Model Set of Standards for Pennsylvania's Multidisciplinary Investigative Teams
• National Children's Alliance Accreditation Guidelines for Children's Advocacy Centers
• National Children's Alliance Standards for Accredited Members
• PCCD Agency Overview
• Pennsylvania Consolidated Victim Service Program Standards
• Pennsylvania Criminal Justice Population Projections FY 2014/15 to FY 2018/19
• Pennsylvania Coalition Against Rape Standards
• Population Projections Software Status—Check
• Residential Relocation and Recidivism Project
• State Justice Statistics Program for Statistical Analysis Centers, 2015—U.S. Department of Justice/Bureau of Justice Statistics
• Victim Service Advisory Committee Principals
Pennsylvania
HOUSING FINANCING AGENCY (PHFA)
I. POLICY STATEMENTS
• Rental Housing Program
12 Pa. Code, Sections 31.11—31.25
Contact: Holly Glauser (717.780.3876)
• Owner-Occupied Residential Housing Program
12 Pa. Code, Sections 31.101—31.105
Contact: Kate Newton (717.780.3891)
• Mortgage Loan Program
12 Pa. Code, Sections 31.111—31.117
Contact: Kate Newton (717.780.3891)
• Policy Statement on Homeowners' Emergency Mortgage Assistance Program (including Program Guidelines, Act 91 Notice)
12 Pa. Code, Section 31.201 et seq.
Contact: Lori Toia (717.780.3945) • HEMAP Consumer Credit Counseling Agencies on
PHFA website at www.phfa.org
Contact: Lori Toia (717.780.3945)
• Privacy Policy
Contact: Tom Brzana (717.780.3996)II. GUIDANCE MANUALS
A. Development Division
• PHFA Multifamily Housing Application and Guidelines (contains PennHOMES, Taxable and Tax-Exempt Financing and Low Income Housing Tax Credit Guidelines)
• PHFA Preprocessing Manual for Projects with Agency Federal HOME Funds
• PHFA Preprocessing Manual for Projects with Agency Reserve Funds
Contact: Lisa Lutz (717.780.3876)B. Technical Services Division
• Architectural Submission Guide
• Submission Guide for Small Projects
• PHFA Preconstruction Meeting Guide
• General Payout Procedures for Mortgagors & Contractors
Contact: Kristy Provost (717.780.1846)C. Housing Management Division
• PHFA Property Operations Manual
• PHFA Section 8 Non-Performance Based Property Operations Manual
• PHFA Low-Income Housing Tax Credit Compliance Manual
Contact: Barbara Huntsinger (717.780.3818)
• PHFA Financial Reporting Manual for Agency Financed Properties and Tax Credit Only Properties (No Agency Financing)
Contact: Kathy Hughes (717.780.3819)D. Housing Services Department
• Senior Supportive Services Program Manual with PennHOMES/Low Income Tax Credit Requirements
• Supportive Services Program Manual with Section 8 Requirements
• Family Supportive Services Program Manual with PennHOMES/Low Income Tax Credit Requirements
• Family Supportive Services Program Manual with Philadelphia Family Resource Center Initiative Requirements
• Family Supportive Services Program Manual with Philadelphia Escrow/Waiver Requirements
• Quick Connections (supportive services newsletter)
Contact: Melissa Reifsnyder (717.780.4353)E. Single Family Housing Division
• PHFA Seller's Guide
Contact: Kate Newton (717.780.3891)
• Renovate & Repair Program Guidelines
Contact: Roberta Schwalm (717.780.3838)III. INTERNAL GUIDELINES
• PHFA Board Agenda, Minutes and Resolutions
• Bylaws of the Pennsylvania Housing Finance Agency
• PHFA Right to Know Act Policy
• PHFA Investment Policy
• PHFA Interest Rate Swap Guidelines
Contact: Carrie Barnes (717.780.3911)
• PHFA Employee Manual
• PHFA Procurement Guide
Contact: Susan Heilig (717.780.4335)
• PHFA Fraud Detection, Prevention, Escalation and Resolution Policy
• PHFA Quality Assurance Plan for Residential Mortgage Loan Programs
• PHFA Secondary Market Interest Rate Risk Management and Hedging Policy
Contact: Kate Newton (717-780-3891)V. OTHER
• Anti-Predatory Lending
• Anti-Predatory Lending and Foreclosure Prevention Presentation—CD-Rom
• Anti-Predatory Lending and Foreclosure Prevention—Trainer's Guide
Contact: Christina Brown (717.780.3832)
• PHFA Annual Report
• Pennsylvania Housing Studies (available only on website at www.phfa.org)
• PHFA Homebuyer Workbook
• Do-Able Renewable Home (Accessibility Workbook)
Contact: Chris Anderson (717.780.3815)A. PHFA Brochures
• Programs for Homebuyers
• Housing Counseling and Education
• Don't Get Hooked by Predatory Lending
• Foreclosure Prevention
• PAHousingSearch.com
• Mortgage Tax Credits
• PENNVEST Homeowner Septic Program
• Why Should I Choose a PHFA Mortgage
• Renovate & Repair Loan Program (R&R) (available only in the website at www.phfa.org)
• Multifamily Development and Rental Housing
Contact: Chris Anderson (717.780.3815)B. PHFA Program Notices
• PHARE Plan & RFP
Contact: Melissa Raffensperger (717.780.3947)
• Manufactured Home Community Rights Act Notice
Contact: Legal Department (717.780.3846)C. Programs for Home Buyers
• HFA PreferredTM and HFA Preferred Risk SharingTM
• Keystone Home Loan
• Keystone Government Loan
• Keystone Advantage Assistance Loan
• HOMEstead Assistance Loan
• Access Modification and Access Assistance Loans
• Mortgage Credit Certificate
Contact: Kate Newton (717.780.3891)D. Programs for Home Owners
• Mortgage Refinancing
Contact: Kate Newton (717.780.3891)
• Renovate and Repair Program
• PENNVEST Homeowner Septic Program
• Homeowners Energy Efficiency Loan Program
Contact: Roberta Schwalm (717.780.3838)Additional information on these programs and other resources is available on PHFA's website (www.phfa.org) from time to time (including funding notices, Requests for Proposals, and news and public notices)
Pennsylvania
MUNICIPAL RETIREMENT SYSTEM (PMRS)
I. POLICY STATEMENTS
• Actuarial Tables
• Allocation of Excess Interest to Municipal Account, Member's Accounts, and Retired
• Business and Educational Travel Policy
• Calculation of Withdrawing Plan's Portion of Retired Member's Reserve
• Contractor Insurance
• Contract & Purchasing Procedures
• Date of Birth Proof
• Designating Signatories
• Disability Reserve Funding
• DROP—Deferred Retirement Option Program
• Excess Interest Process
• Indemnification Policy
• Investment Guidelines
• Member Contribution Receipts
• Overpayment Policy
• Permanent Employee
• Plan Withdrawal Procedures
• Portability: Individual Member
• Portability: Plan Spin-offs
• Proxy Voting Guidelines
• Refund-Plan Withdrawal
• Return to Work Policy Statement
• Right To Know Policy
Contact: Steve Vaughn (717) 787-2065II. GUIDANCE MANUALS
• PMRS Notes & News
• PMRS Pamphlets:
Plan Benefit Summary (individualized for each munici-
pality)
Evaluating Your Pension Plan
Pennsylvania Municipal Retirement System
• Individual Municipality Plan Benefit Agreements
• PMRS Website: www.pmrs.state.pa.us
Contact: Steve Vaughn (717) 787-2065III. DECISIONS
• PMRS Board of Trustees Adjudications Topics:
Death
Disability
Membership Eligibility
Miscellaneous
Payment of Interest
Pension Benefit
Pension Forfeiture
Purchase of Service
Contact: Steve Vaughn (717) 787-2065IV. INTERNAL GUIDELINES
• Actuarial Reports (Annual Evaluation and 5 year Experience Study Report)
• Actuarial Tables
• Comprehensive Annual Financial Report
• Investment Consultant Quarterly Reports
• PMRS Board Minutes and Resolutions
• Sample Domestic Relations Order and Instruction Memo
• Template Pension Plan Contract for Police, Municipal and Firefighter
Contact: Steve Vaughn (717) 787-2065
Pennsylvania STATE POLICE (PSP)
I. GUIDANCE MANUALS, BROCHURES, FORMS AND OTHER MATERIALS
A. Bureau of Criminal Investigation
• Terrorism Tip Line Card
• Storage Facility Terrorism Indicator CardB. Bureau of Human Resources
• Liquor Enforcement Employment Information
• General Information Brochure (SP5-348)C. Bureau of Liquor Control Enforcement
• Bureau of Liquor Control Enforcement Brochure (SP2-304)D. Bureau of Patrol
• Emergency Vehicle Designation (SP6-115)
• Child Safety Seat Identification Decal (SP6-153)E. Bureau of Professional Responsibility
• Complaint Verification Form (SP1-108)F. 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)G. Bureau of Research and Development
• Pennsylvania Annual Police Pursuit Report (1998-2013) http://www.paucrs.pa.gov/ucr/reporting/pursuit/annual/annualpursuitui.asp
• Crime in Pennsylvania: Uniform Crime Executive Summary (2000-2013) http://www.paucrs.pa.gov/UCR/Reporting/Annual/AnnualSumArrestUI.aspH. 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 (SP5-350)
• Pennsylvania State Police: A Challenging Career That Makes a Difference (SP 5-359)
• Pennsylvania State Police General Information (SP3-313)I. Equal Employment Opportunity Office
• Pennsylvania State Police Equal Employment Opportunity Policy Statement
• Sexual Harassment, Sexual Misconduct Policy and Complaint Procedures Pamphlet (SP5-355)
• Sexual Harassment, Sexual Misconduct Policy and Complaint Procedures Pamphlet-Spanish version (SP 5-355S)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) 783-5536Documents 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.
PUBLIC SCHOOL EMPLOYEES' RETIREMENT SYSTEM (PSERS)
I. GUIDANCE MANUALS
• PSERS Active Member Handbook (Current Ed. 09/2012)
• PSERS Retired Member Handbook (Current Ed. 3/2014)
• PSERS Update—Annually (January)
• PSERS Pamphlets:
Let's Talk About: Taxes on Your Retirement Benefits
(09/2013)
Let's Talk About: Disability Retirement Benefits
(04/2012)
Let's Talk About: Death Benefits During Employment
(11/2003)
Let's Talk About: Death Benefits During Retirement
(4/2001)
• Information for New School Employees (01/2015)
• PSERS Return to Service Guidelines and Clarifications (01/2013)
• PSERS Divorce Guidelines (09/2012)
• PSERS Active Member Newsletter (Spring, Fall)
• PSERS Retired Member Newsletter (Spring, Fall)
• The Employer Bulletin (Bimonthly)
• PSERS Employer Reference Manual (2014)
• Online Estimate Calculator Retirement Planning at your Fingertips (07/2012)
Contact: Evelyn Williams (717) 720-4734II. DECISIONS
• PSERS Board of Trustees Adjudications Topics:
Beneficiary Change
Change Employment Status
Change of Option
Change Retirement Date
Class TD and TF Election
Cost of Living Increase
Credited Years of Service
Death Benefit
Disability
Divorce
Effective Date of Retirement
Emergency Return To Service
Final Average Salary
Frozen Present Value
Forced Maternity Leave
Full-Year Service
Health Care Premium Assistance
Mandatory Membership
Membership Eligibility
Military Service (purchase of)
Multiple Service Credit
Non Qualifying Part-Time Service
Overpayment
Payment of Interest
Pension Forfeiture
Purchase of Service
Recalculation of Benefit
Reinstatement
Retirement-Covered Compensation
Return To Public School Service
Service Adjustment
Tax Collector
Miscellaneous
Contact: Evelyn Williams (717) 720-4734II. INTERNAL POLICY STATEMENTS and GUIDELINES
• PSERS Board Automation Policy
• PSERS Bylaws
• PSERS Election Procedures and Guidelines
• PSERS Board Ethics Policy
• PSERS Public Market Emerging Investment Manager Program Policy
• PSERS External Board Appointment and Attendance Policy
• PSERS Domestic Proxy Voting Guidelines
• PSERS International Proxy Voting Guidelines
• PSERS Investment Policy Statement, Objectives & Guidelines
• PSERS Public Information Policy
• PSERS Securities Litigation Policy
• PSERS Education Policy
Contact: Evelyn Williams (717) 720-4734III. OTHER
• PSERS Website: www.psers.state.pa.us
• PSERS Comprehensive Annual Financial Report (Includes Mission Statement)
• PSERS Board Minutes and Resolutions
• PSERS Asset Allocation Plan
• Annual Actuarial Valuation Report
• Actuarial Experience Study Report (5 year intervals)
• Quarterly Financial Statements
• PSERS Budget Hearing materials
• PSERS SEC Form 13F filing
• Actuarial Tables and Computational Procedures, Pa. Bulletin, Vol. 43, No. 18, pp. 2415—2548, May 4, 2013
• Pennsylvania School Retiree Health Care Coverage
Website: www.hopbenefits.com
Health Options Program
Premium Assistance Program
Contact: Evelyn Williams (717) 720-4734
Department of REVENUE (DOR)
PLEASE ORDER FROM SPECIFIED BUREAU. THERE IS NO CHARGE UNLESS NOTED.
I. BUREAU OF ADMINISTRATIVE SERVICES, TAX FORMS SERVICE UNIT
1854 Brookwood Street, Harrisburg, PA 17104-2244
TELEPHONE: 1-800-362-2050 (Toll-free number), or FAX requests to (717) 346-1958• DAS-28 Vehicle Rental Tax Annual Reconciliation
• PA-100 PA Enterprise Registration Forms and Instructions Booklet
• PA-40 IN Personal Income Tax Instruction Book—Resident/Nonresident/Part-Year Resident (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 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
Expenses
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 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-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-40 PA-V—Payment Voucher (available via internet only)
• PA-41 PA Fiduciary Income Tax Return
• PA-41 Instructions (detailed instructions available via internet only after 2003)
• 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 N PA Source Income and Nonresident Tax Withheld
• PA-41 Schedule RK-1 Resident Schedule of Shareholder/Partner/Beneficiary Pass Through Income, Loss and Credits
• PA-41 Schedule NRK-1 Nonresident Schedule of Shareholder/Partner/Beneficiary Pass Through Income, Loss and Credits
• PA-41 PA-V Payment Voucher (available via internet only)
• Schedule PA-41X Amended
• PA-20S/PA-65 Partnership/PA S Corporation Information Return—(Available only through internet after 2008)
• PA-5R Vehicle Rental Tax Return
• 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 (Partnership/Shareholders) (Available only through internet after 2008)
• REV-419 Employee's Non-withholding Application Certificate
• REV-443 IFTA Compliance Manual (available via internet only)
• 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-554 Disclosure Statement/Taxpayer Rights Advocate
• REV-556 Taxpayer Request for Assistance
• REV-573 Property Tax/Rent Rebate Brochure
• REV-588 Starting a Business in PA (A Beginner's Guide)
• REV-670 Instructions for Completing Liquid Fuels & Fuel Tax Bond
• REV-717 Retailers' Information Guide
• 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-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-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-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-1643 Listing of Tax Exempt PIT Obligations
• REV-1689 Computation of Installment Sale Income
• REV-1705 Tax Account Information Change/Correction Form
• REV-1706 Business/Account Cancellation Form
• 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-1799A Time Limitations on the Filing of AppealII. 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).
III. BUREAU OF CRIMINAL TAX INVESTIGATIONS
5TH FL., STRAWBERRY SQ., HARRISBURG, PA 17128
TELEPHONE: (717) 783-9685
• DCI-2 Cigarette Tax for Law Enforcement PamphletIV. 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 DocumentationV. BUREAU OF INDIVIDUAL TAXES
PO BOX 280600, HARRISBURG, PA 17128-0600
TELEPHONE: (717) 787-8346
• PA1436 Electronic Filing Test PackageVI. THE PA LOTTERY
1200 FULLING MILL ROAD, SUITE ONE, MIDDLETOWN, PA 17057
TELEPHONE (717) 702-8008 (or from Lottery Retailer Outlets, as denoted by *)
• *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
Department of STATE (DOS)
I. POLICY STATEMENTS
A. 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) 772-5193B. State Athletic Commission
• Athlete Agents, 58 Pa. Code §§ 41.1—41.3
Contact: Gregory Sirb (717) 787-5720C. 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) 783-0736D. Bureau of Professional and Occupational Affairs
1. Commissioner of Professional and Occupational Affairs
• Schedule of Civil Penalties—Pharmacists and Pharmacies, 49 Pa. Code § 43b.7a
• 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) 783-72002. State Board of Chiropractic
• Patient Records, 49 Pa. Code § 5.51a
Contact: Stephen Snyder (717) 787-71553. 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) 783-71624. 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
• Inspections, 49 Pa. Code § 13.253
Contact: Heidy Weirich (717) 783-33975. State Board of Medicine
• Expert Witnesses, 49 Pa. Code § 16.52a
• Disciplinary Guidelines for Use of Anabolic Steroids, 49 Pa. Code § 16.97
Contact: Suzanne Zerbe (717) 783-14006. 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) 783-71427. 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) 783-71558. State Board of Optometry
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 23.101
Contact: Stephen Snyder (717) 783-71559. State Board of Osteopathic Medicine
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 25.291
Contact: Aaron Hollinger (717) 783-485810. 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) 783-715611. State Board of Physical Therapy
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 40.54
Contact: Michelle Roberts (717) 783-713412. 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) 783-715513. 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) 783-138914. State Board of Examiners in Speech-Language and Hearing
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 45.3
Contact: Sandra Matter (717) 783-1389II. GUIDANCE MATERIALS
A. Department of State
• Right to Know Policy
Contact: Heidi Barry (717) 783-3585B. Bureau of Corporations and Charitable Organizations
• Registration Packets for Charitable Organizations, Professional Solicitors and Professional Fundraising Counsels
Contact: Erin Donley (717) 783-1720
• A Guide to Business Registration in Pennsylvania
Contact: Barbara Kennedy (717) 783-9210C. Bureau of Professional and Occupational Affairs
• Policy Statement Interpreting the term ''Infectious, Communicable or Contagious Disease''
• Special Notice to All Health-related Licensees and Funeral Directors
• Approved Act 31 Child Abuse Recognition and Reporting Continuing Education Providers
• Special Notice—Act 31—Find CE courses/Become an approved CE provider
• Department of Human Services Child Abuse Recognition and Reporting Approved Course Provider Listing
• Act 31—Child Abuse Recognition and Reporting Exemption Form
• Act 31—Frequently Asked Questions
• Health Care Practitioner Photo Identification Badge Requirement
Contact: Cynthia Montgomery (717) 783-72001. 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
• State Tax Law Compliance
• Approved CPE Program Sponsor Roster
Contact: Sara Fox (717) 783-14042. State Board of Auctioneer Examiners
• Special Notice Regarding Amnesty Program—9/25/14 to 3/31/15
Contact: Terrie Kocher (717) 783-33973. State Board of Certified Real Estate Appraisers
• Continuing Education for Licensed Appraiser Trainees
• Licensed Appraiser Trainee Registration of Supervisory Appraisers
• Special Notice to Certified Appraisers
• Changes in Real Property Appraiser Examinations
• CREA Education Provider Course List
• 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
Contact: Heidy Weirich (717) 783-48664. State Board of Chiropractic
• Continuing Education Letter
• List of Approved Continuing Education Programs
• Frequently Asked Questions
Contact: Stephen Snyder (717) 787-71555. State Board of Cosmetology
• Information Regarding the Practical Examination
• Policy on Student Absenteeism
Contact: Kelly Diller (717) 783-71306. State Board of Crane Operators
• Special Notice—Physical Examination Requirement
• List of Board-approved Certifying Organizations
Contact: Amanda Li (717) 783-14047. State Board of Dentistry
• Letter to Veterans' Administration Hospitals Regard License Verifications
• X-ray Equipment Operator Refresher Training Requirement
Contact: Lisa Burns (717) 783-71628. State Board of Funeral Directors
• Special Notice Regarding Return to Compliance with Funeral Directors Law
Contact: Heidy Weirich (717) 783-33979. State Board of Landscape Architects
• Special Notice—Continuing Education Update
Contact: Terrie Kocher (717) 772-852810. State Board of Massage Therapy
• Frequently Asked Questions of the State Board of Massage Therapy
• Acceptable CPR for Massage Therapy License
• Continuing Education for 2014 Graduates
• Letter to VA Hospitals for License Verifications
Contact: Judy Harner (717) 783-715511. State Board of Medicine
• Foreign Specialty Certification Boards That Have Been Deemed Comparable to American Boards
• Special Notice—Pennsylvania Health Alert Network
• 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
• Special Notice—Written Agreements Insurance Requirement
• Special Notice—PA Patient Safety Anonymous Reporting
Contact: Suzanne Zerbe (717) 783-140012. Navigation Commission for the Delaware River and Its Navigable Tributaries
• A Guide to the Pennsylvania Navigation Commission
Contact: Barbara Dupler (717) 783-161813. State Board of Nursing
• 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)
• Frequently Asked Questions (FAQs) for Graduate/Student Nurses
• 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) 783-714214. State Board of Occupational Therapy Education and Licensure
• Special Notice: Professional Liability Insurance
• Continued Competency Requirement
• Occupational Therapy Board FAQs
• Updated Information for Occupational Therapists
Contact: Judy Harner (717) 783-138915. State Board of Optometry
• Position Paper—American Board of Optometry (ABO) Board Certification
• List of Drugs Approved for use by Optometrists
• DEA Rescheduling Hydrocodone Products
• Special Notice—Federal ''Fairness to Contact Lens Consumers Act''
• List of Approved Continuing Education
• Optometry Frequently Asked Questions
Contact: Stephen Snyder (717) 783-715516. State Board of Osteopathic Medicine
• Special Notice—Pennsylvania Health Alert Network
• Osteopathic Board Credentials Verification Fact Sheet
• Department of Health Survey—2012 Pulse of Pennsylvania Physician and Physician Assistant Workforce
• PENNDOT Physician Reporting Requirements
• X-ray Equipment Operator Refresher Training Requirement
• VA Hospitals—License Verifications
• Certified Registered Nurse Practitioner—Death Certificates
• Number of Physician Assistants Supervised by Physician
• Acceptance of Federation Credentials Verification Service
• Supervising Physician and Written Agreement Change Form Updates
• Written Agreement Insurance Requirements
Contact: Aaron Hollinger (717) 783-485817. State Board of Pharmacy
• Letter to Veterans Administration Hospitals Regarding License Verifications
• NPLEx-National Precursor Log Exchange
• Patient Safety Continuing Education Required
• FDA Outlines Expectations for Human Drug Compounders, Including Registered Outsourcing Facilities
• DEA Rescheduling Hydrocodone Products
• Special Notice—Governor signs Act 139—Allowing first responders to administer naloxone to individuals experiencing an opioid overdose
• DEA National Prescription Drug Take-Back Program
• Special Notice—Pennsylvania State Police to Carry Life-saving Naloxone to Combat Heroin and Opioid Overdoses
• List of Approved CPR Providers for the Authorization to Administer Injectables, Biologicals and Immunizations
• Cancer Drug Repository Program—Income Limits for Eligibility
• Information for Graduates of Foreign Pharmacy Schools
Contact: Melanie Zimmerman (717) 783-715618. State Board of Physical Therapy
• List of Approved CE Courses
• Special Notice—New Regulatory Requirements
• Webinar—The New Rules and Regulations (2013)
Contact: Michelle Roberts (717) 783-713419. State Board of Podiatry
• Special Notice—Pennsylvania Health Alert Network
• Podiatry Board Credentials Verification Fact Sheet
• List of Approved CE Programs
• Letter to Veterans Administration Hospitals Regarding License Verification
• PENNDOT Physician Reporting Requirements
• X-ray Equipment Operator Refresher Training Requirement
Contact: Aaron Hollinger (717) 783-485820. State Registration Board for Professional Engineers, Land Surveyors and Geologists
• Continuing Education Guidelines and Activity Log
• NCEES Updates—Specifications for PE Civil Exam
• CBT Notice
Contact: Robin Shearer (717) 783-486521. State Board of Psychology
• Guideline: Persons Licensed in Other States
• Guideline: Requirements for Provision of Psychological Services Regardless of Delivery Method
• Special Notice—Changes in Education, Examination and Experience Requirements
• Special Notice—Supervision Course Requirement for Primary Supervisors of Psychology Residents
• Special Notice—Graduate Training in Psychology
• Psychology Board FAQs
• Continuing Education: Is a webinar considered home study?
• Board Approved Continuing Education Sponsors/Providers
• Continuing Education Information
• APA Approved CE Sponsors
Contact: Chris Stuckey (717) 783-715522. State Real Estate Commission
• Information Regarding ''Team'' Advertising
• List of Currently Approved Real Estate Education Providers
• List of Providers Approved to Offer Modules
• FAQs
Contact: Krista Linsenbach (717) 783-365823. 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) 783-138924. 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
• List of Approved Continuing Education Programs
Contact: Sandra Matter (717) 783-138925. 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) 783-169726. 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
• List of Approved Euthanasia Technician Training Programs
Contact: Michelle Roberts (717) 783-7134D. Bureau of Commissions, Elections and Legislation
• Secretary's Advisories and Directives to County Election and Voter Registration Officials
• Election Calendars
• Instructions for Filing as a Candidate of a Minor Political Party
• Instructions for Filing as a Political Body Candidate
• Instructions for Circulating Nomination Petitions
• Nomination Petitions
• Nomination Papers
• General Information About Running for Public Office
• Notice on What Constitutes a Vote
• Voting System Certification Reports
Contact: Jessica Mathis (717) 787-5280
• Becoming a Notary Public in Pennsylvania
Contact: Julio Peña (717) 787-5280
• Non-Bid Contract Reporting Forms
• Lobbying Disclosure Registration and Reporting Forms
• Lobbying Disclosure Directory
• Lobbying Statute, Regulations, Frequently Asked Questions (FAQs) and Manual for Accounting and Reporting
• 2014 Annual Report—Lobbying Disclosure
• Campaign Finance Registration and Reporting Forms
• Campaign Finance Calendar of Filing Deadlines
• Campaign Finance Reporting Law Pamphlet
• Campaign Finance Reporting Law Frequently Asked Questions
• Campaign Finance Independent Expenditure Reporting Forms
• Statement of Organization—Independent Expenditure Committee
• Statement Regarding the Effect of the U.S. Supreme Court's Decision in Citizens United v. FEC on Pennsylvania Law
• Statement Regarding the Effect of the Preliminary Injunction Order in General Majority PAC v. Carol Aichele, et al., on Pennsylvania Law
Contact: Trisha Malehorn (717) 787-5280
• Voter Registration Mail Application (English and Spanish)
• 2014 Report to the General Assembly—The Administration of Voter Registration in Pennsylvania
• Absentee Ballot Forms
• Voting Rights of Convicted Felons, Convicted Misdemeanants and Pretrial Detainees
• Voter Hall of Fame Inductees
• Pennsylvania's Guide to Agency-Based Voter Registration Programs
• The Commonwealth of Pennsylvania State Plan (as required by the Help America Vote Act of 2002)
• Elections News Poster (English and Spanish)
• Election 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: Elissa Dauberman (717) 787-5280III. INTERNAL GUIDELINES
A. Bureau of Professional and Occupational Affairs
• Recusal Guidelines for Board Members
Contact: Cynthia Montgomery (717) 783-72001. State Board of Chiropractic
• Probable Cause Screening Committee Guidelines
Contact: Stephen Snyder (717) 787-71552. State Board of Dentistry
• Probable Cause Screening Committee Guidelines
Contact: Lisa Burns (717) 783-71623. State Board of Medicine
• Probable Cause Screening Committee Guidelines
• Mcare Triage Guidelines
Contact: Suzanne Zerbe (717) 783-14004. Navigation Commission for the Delaware River and Its Navigable Tributaries
• Internal Operating Procedures Involving Inactive Status of Pilots
Contact: Barbara Dupler (717) 783-16185. State Board of Nursing
• Probable Cause Screening Committee Guidelines
Contact: Cindy Miller (717) 783-71426. State Board of Examiners of Nursing Home Administrators
• Guidelines for Continuing Education Audit
Contact: Chris Stuckey (717) 783-71557. State Board of Optometry
• Probable Cause Screening Committee Guidelines
Contact: Stephen Snyder (717) 783-71558. State Board of Osteopathic Medicine
• Probable Cause Screening Committee Guidelines
• Mcare Triage Guidelines
Contact: Aaron Hollinger (717) 783-48589. State Board of Pharmacy
• Probable Cause Screening Committee Guidelines
Contact: Melanie Zimmerman (717) 783-715610. State Board of Physical Therapy
• Probable Cause Screening Committee Guidelines
Contact: Michelle Roberts (717) 783-713411. State Board of Psychology
• Probable Cause Screening Committee Guidelines
Contact: Chris Stuckey (717) 783-715512. State Real Estate Commission
• Internal Operating Guidelines
• Probable Cause Screening Committee Guidelines
Contact: Krista Linsenbach (717) 783-365813. State Board of Social Workers, Marriage and Family Therapists and Professional Counselors
• Probable Cause Screening Committee Guidelines
Contact: Sandra Matter (717) 783-138914. State Board of Veterinary Medicine
• Probable Cause Screening Committee Guidelines
• Inspection Checklist
Contact: Michelle Roberts (717) 783-7134
STATE EMPLOYEES' RETIREMENT SYSTEM
(SERS)
• 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 an-
nuitants)
• 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 Mem-
bers (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
• DCP Statement of Investment Policy
• Sample Domestic Relations Order and Instruction Letter and Alternative Provisions Sample Sheets
• 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
• SERS Conflict of Interest Policy (EO-2015-03)
• Management Directives issued by SERS:
o 570.1—Mandatory Membership in the State Employ-
ees' Retirement System
o 570.5—Employer Contributions Required on the Pur-
chase of Previously Uncredited State Service
o 570.6—Optional Membership in the State Employees'
Retirement System
o 570.8—Reinstatement of Terminated Employees Into
the State Employees' Retirement System
o 570.9—Reinstatement of Furloughed or Otherwise
Terminated and Reemployed Employees in the State
Employees' Retirement System
o 570.11—Amending Data in Retirement and
Personnel/Payroll Systems and Collecting Arrears
Balances
o 570.12—Furloughed State Employees Retirement
System Members' Right to Earn Interest on Member
Contributions
o 570.13—State Employees' Retirement System, Re-
gional Counseling Centers
o 570.14—Deferred Compensation Program
o 570.15—Reporting Potential Public Employee Pen-
sion Forfeiture Crimes to the State Employees' Re-
tirement System
o 570.16—State Employees' Retirement System, Duties
of Departments and Agencies
Department of TRANSPORTATION (DOT)
Bureau Responsible: BUREAU OF DRIVER LICENSING Category: GUIDANCE MANUALS Publication (Pub.)/
Document (Doc.) Name:Commercial Driver's Manual (English) Pub./Doc. Number (#): Pub 223 Pub. last updated: December 2014 Bureau Responsible: BUREAU OF DRIVER LICENSING Category: GUIDANCE MANUALS Pub./Doc. Name: A Guide to Obtaining a Pennsylvania Junior Learner's Permit and Junior Driver's License Pub./Doc. #: Pub 178 Pub. last updated: May 2015 Bureau Responsible: BUREAU OF DRIVER LICENSING Category: GUIDANCE MANUALS Pub./Doc. Name: Motorcycle Operator Manual Pub./Doc. #: Pub 147 Pub. last updated: March 2015 Bureau Responsible: BUREAU OF MOTOR VEHICLES Category: GUIDANCE MANUALS Pub./Doc. Name: Apportioned Manual Pub/Doc #: Pub 181 Pub. last updated: February 2015 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: INTERNAL GUILDELINES Pub./Doc. Name: Project Office Manual (POM) Pub/Doc #: Pub 2 Pub. last updated: April 2015 (electronically) (ftp://ftp.dot.state.pa.us/public/pdf/BOCM_MTD_LAB/
PUBLICATIONS/POM/POMcover.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Utility Relocation Manual Pub/Doc #: Pub 16 Pub. last updated: September 2014 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: OTHER Pub./Doc. Name: Geotechnical Investigation Manual 2014 Edition Pub/Doc #: Pub 222 Pub. last updated: May 2014 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Geotechnical Engineering Manual 2014 Edition Pub./Doc. #: Pub 293 Pub. last updated: December 2014 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: INTERNAL GUILDELINES Pub./Doc. Name: Aggregate Technician Certification Requirements Pub./Doc. #: Pub 725 Pub. last updated: June 2015 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Roadway Specifications Pub./Doc. #: Pub 408 Pub. last updated: April 2015 NOTE: Pub 7 and Pub 287 are no longer part of this document (ftp://ftp.dot.state.pa.us/public/bureaus/design/pub408/
pub%20408-2011.pdf) (ftp://ftp.dot.state.pa.us/public/bureaus/design/Pub408/
pdf%20for%20printing%202011%207/Pub_408_2011_9.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Construction Items Catalog Pub./Doc. #: Pub 7 Purb. last updated: April 2015 (ftp://ftp.dot.state.pa.us/public/bureaus/design/pub408/
pub 408-2011.pdf)(ftp://ftp.dot.state.pa.us/public/Bureaus/design/Pub7/
Pub7.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Roadway Specifications—Construction Cost Catalog Pub./Doc. #: Pub 287 Pub. last updated: April 2014 (ftp://ftp.dot.state.pa.us/public/bureaus/design/pub408/
pub%20408-2011.pdf)(ftp://ftp.dot.state.pa.us/public/Bureaus/design/Pub287/
Pub%20287.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Design Manual, Part 2 March 2015 Edition Pub./Doc. #: Pub 13M Pub. last updated: March 2015 (ftp://ftp.dot.state.pa.us/public/pubsforms/Publications/
PUB%2013M.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: PennDOT Drainage Manual, March 2015 Edition Pub./Doc. #: Pub 584 Pub. last updated: March 2015 Edition (ftp://ftp.dot.state.pa.us/public/PubsForms/Publications/
PUB%20584.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Specifications for Consultant Agreements for Project Development Services Pub./Doc. #: Pub 442 Pub. last updated: March 2015 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Policy and Procedures for the Administration of Consultant Agreements Pub./Doc. #: Pub 93 Pub. last updated: March 2015 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: MANUAL Pub./Doc. Name: Highway Beautification Manual Pub./Doc. #: Pub 581 Pub. last updated: March 2015 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Design Manual, Part 3 March 2015 Edition Pub./Doc. #: Pub 14M Pub. last updated: March 2015 (ftp://ftp.dot.state.pa.us/public/PubsForms/Publications/
PUB%2014M.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Bridge Design Standards—BD-600M Series Pub./Doc. #: Pub 218M Pub. last updated: November 2014 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Bridge Construction Standards—BC-700M Series Pub./Doc. #: Pub 219M Pub. last updated: November 2014 Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Design Manual Part 4—Structures Pub./Doc. #: Pub 15M Pub. last updated: April 2015 (ftp://ftp.dot.state.pa.us/public/PubsForms/Publications/
PUB%2015M.pdf)Bureau Responsible: BUREAU OF PROJECT DELIVERY Category: POLICY STATEMENTS Pub./Doc. Name: Grade Crossing Manual Pub./Doc. #: Pub 371 Pub. last updated (electronically): on a weekly basis Pub. last updated (paper): December 2014 Bureau Responsible: BUREAU OF MAINT & OPERATIONS Category: GUIDANCE MANUALS Pub./Doc. Name: Automated Pavement Condition Surveying Field Manual Pub./Doc. #: Pub 336 Pub. last updated: April 2015 Bureau Responsible: BUREAU OF MAINT & OPERATIONS Category: GUIDANCE MANUALS Pub./Doc. Name: Continuously Reinforced Concrete and Unpaved Roads Condition Survey Field Manual Pub./Doc. #: Pub 343 Pub. last updated: April 2015 Bureau Responsible: BUREAU OF MAINT & OPERATIONS Category: GUIDANCE MANUALS Pub./Doc. Name: Shoulder and Guide Rail Condition Survey Field Manual Pub./Doc. #: Pub 33 Pub. last updated: April 2015 Bureau Responsible: BUREAU OF MAINT & OPERATIONS Category: GUIDANCE MANUALS Pub./Doc. Name: Storm Water Facility Condition Survey Field Manual Pub./Doc. #: Pub 73 Pub. last updated: April 2015 Bureau Responsible: HUMAN RESOURCES Category: POLICY STATEMENTS Pub./Doc. Name: Disability-Related Employment Policy Statement Pub./Doc. #: n/a Pub. last updated: February 2015 Bureau Responsible: HUMAN RESOURCES Category: POLICY STATEMENTS Pub./Doc. Name: Equal Employment Opportunity Policy Statement Pub./Doc. #: n/a Pub. last updated: February 2015 Bureau Responsible: HUMAN RESOURCES Category: POLICY STATEMENTS Pub./Doc. Name: Harassment/Hostile Work Environment Policy Statement Pub./Doc. #: n/a Pub. last updated: February 2015 Bureau Responsible: HUMAN RESOURCES Category: POLICY STATEMENTS Pub./Doc. Name: Sexual Harassment Policy Statement Pub/Doc #: n/a Pub. last updated: February 2015 Bureau Responsible: HUMAN RESOURCES Category: GUIDANCE MATERIALS Pub./Doc. Name: 2015 Internal Equal Employment Opportunity Plan (State) Pub/Doc #: n/a Pub. last updated: February 2015 Bureau Responsible: EQUAL OPPORTUNITY Category: GUIDANCE MANUALS Pub./Doc. Name: 2015 External Equal Opportunity Plan (Contract Compliance) Pub/Doc #: n/a Pub. last updated: March 2015 Bureau Responsible: BUREAU OF AVIATION Category: GUIDANCE MANUALS Pub./Doc. Name: Pennsylvania Airport Managers Guidebook Pub/Doc #: Pub 768 Pub. last updated: June 2015 Bureau Responsible: BUREAU OF PUBLIC TRANSPORTATION Category: ANNUAL REPORT Pub./Doc. Name: Annual Performance Report: Fiscal Year 2012-13 Pub/Doc #: n/a Pub. last updated: April 30, 2014 Bureau Responsible: BUREAU OF PUBLIC TRANSPORTATION Category: ANNUAL REPORT Pub./Doc. Name: Annual Performance Report: Fiscal Year 2013-14 Pub./Doc. #: n/a Pub. last updated: April 30, 2015 Bureau Responsible: MULTIMODAL DEPUTATE (BUREAU OF PUBLIC TRANSPORTATION) Category: HIGHLIGHTS Pub./Doc. Name: Multimodal Highlights Fiscal Year 2014 Pub./Doc. #: n/a Pub. last updated: June 30, 2014
[Pa.B. Doc. No. 15-1488. Filed for public inspection August 7, 2015, 9:00 a.m.]
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