Pennsylvania Code & Bulletin
COMMONWEALTH OF PENNSYLVANIA

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PA Bulletin, Doc. No. 12-1497g

[42 Pa.B. 5011]
[Saturday, August 4, 2012]

[Continued from previous Web Page]


POLICY STATEMENTS:

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

Office of Child Development and Early Learning—Contact: Jen DeBell (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 9/15/07 3001-07-01
2009 Ch. 3270 Reporting Lost Child 02/21/09 3001-08-02
Ch. 3280
Ch. 3290
Ch. 3270 Playground Protective Surface Covering 02/21/09 3001-09-01
Ch. 3280
Ch. 3290
Announcements:
2008 C-08 #03—Child Care Provider Survey 05/19/08
C-08 #05—Impact of Change in Equivalencies 08/13/08
of CDA and CCP Credentials
C-08 #06—Approved Child Service Report Form 09/02/08
C-08 #07—Compliance with Regulations Relating 09/15/08
to Recalled Toys and Equipment
2009 C-09 #01—Temporary Child Care Facility Closure 08/21/09
Due to Budget Impasse
C-09 #02—Procedures Regarding Notification 08/24/09
of Temporary Child Care Facility Closure Due to Budget Impasse
C-09 #03—Centers for Disease Control Guidance 09/18/09
Regarding Influenza for Early Childhood Programs
C-09 #04—Use of Hand Sanitizers in Early 09/25/09
Childhood Programs
C-09 #05—Reporting Child Care Center Closings 10/23/09
Due to Influenza
C-09 #6—Excluding and Readmitting Children 10/26/09
and Staff with Influenza-like Illness
2010 C-10 #01—PEMA Update to Emergency Plan 03/23/10
Toolkit for Child Care Facilities
2011 C-11-#01—Emergency Temporary Relocation 05/12/11
of a Child Care Facility
Bureau of Early Intervention Services
2006 ELS-EI-06 #02—Informing Early Intervention 05/22/06
Providers of Plans to Develop a Common Process for Measuring Child Progress
2006 ELS-EI-06 #04 Natural Environments 07/24/06
2006 ELS-EI-06 #05—Common Process for 06/13/06
Measuring Child Progress—Additional Tools Announcement
2006 ELS-EI-06 #06 Guidance on the Individuals 07/24/06
with Disabilities Education Act Amendment of 2004
2006 ELS-EI-06 #07 Clarification of Waiver of 4300 08/15/06
Fiscal Regulations
2006 ELS-EI-06 #09 Childhood Lead Poisoning 08/24/06
Prevention Program
2006 ELS-EI-06 #10 Acceptable Signers of the 09/05/06
Beneficiary Choice Form for the Infants, Toddlers And Families Medicaid Waiver
2006 ELS-EI-06 #12 Medicaid Waiver for Infants, 10/03/06
Toddlers and Families Renewal
2007 EI-07 #03 Mediation Procedures for EI, Part C 01/26/07
2007 EI-07 #04 OCDEL Operating Agreement, ITF 04/03/07
Provider Agreement, Provider/County Agreement
2007 EI-07 #08 EI Provider & Service Coordination 06/29/07
Monitoring Tools
2007 EI-07 #12 PA Pre-K Counts and Early Intervention 10/24/07
working Together
2007 EI-07 #13 Third Party Insurance Denials and 11/20/07
Leader Services
2008 EI-08 #02 Reportable Incidents 03/07/08
2008 EI-08 #03 Extent and Duration of Early 04/16/08
Intervention Programs for Preschoolers, Including Services During Scheduled Breaks in Their Programs
2008 EI-08 #04 Early Intervention Management 07/01/08
Verification Tool
2008 EI-08 #05 Issuance of Two New Forms—the 06/30/08
Evaluation Report (ER) and the Individualized Family Service Plan (IFSP) Individualized Educational Program (IEP)
2008 EI-08 #10 Eligibility for Infants Toddlers Families 09/22/08
Medicaid Waiver
2009 EI-09 #01 Recommendations for Children Who 01/02/09
are Deaf and Hard of Hearing
2009 EI-09 #04 Common Process for Measuring Child 02/16/09
Progress-Using the WSS/Ounce Online Data Collection System
2009 EI-09 #05 Provider Monitoring Tool and Service 02/16/09
Coordination Monitoring Tool
2009 EI-09 #06 Local Determination Process and the 03/24/09
Performance Improvement Process
2009 EI-09 #08 Early Head Start Expansion in 04/14/09
Pennsylvania and Informational Sessions for PA Early Learning Organizations on Early Head Start, ''Early Head Start: What's it all about?''
2009 EI-09 #09 Early Head Start Expansion in 05/14/09
Pennsylvania Grant Opportunity Posted with Deadline of July 9, 2009
2009 EI-09 #10 Transition of Toddlers to Preschool 05/18/09
or Other Community Services
2009 EI-09 #11 Infant/Toddler Early Intervention 08/14/09
Service Coordination
2009 EI-09 #12 Temporary Child Care Facility 08/21/09
Closure Due to Budget Impasse
2009 Childfind System Including Children who are 09/11/09
Wards of the State, Children Living in Residential Facilities, Children who were Abused and Children who are Homeless.
2009 EI-09- #14 Contracting with Early Intervention 09/16/09
Service Providers and Suspending and Terminating Early Intervention Service Providers
2009 EI-09- #15 Centers for Disease Control Guidance 09/21/09
Regarding Influenza for Early Childhood Programs
2009 EI-09- #16 Use of Hand Sanitizers in Early 09/25/09
Childhood programs
2009 EI-09- #17 Qualifications for Individuals to Provide 10/05/09
Speech-Language Pathology Services in Early Intervention and the Requirements for Billing
2009 EI-09 #18 Update on Early Learning Network and 10/19/09
Child Outcome Reporting in 2009-2010
2009 EI-09 #19 Transition of Preschool Children to 10/20/09
School Age Programs
2009 EI-09 #20 Reporting Child Care Center Closings 10/23/09
Due to Influenza
2009 EI-09 #21 Excluding and Readmitting Children 10/26/09
And Staff with Influenza-like Illness
2010 EI-2010 #01 Revised Early Intervention Audit 01/19/10
and Fiscal Reporting Requirements
2010 EI-2010 #02 Release of Information 01/29/10
2010 EI-2010 #03 Session Notes 04/07/10
2010 EI-2010 #04 Operational Guidance for Infant/ 04/09/10
Toddler Programs Regarding Children Living in Residential Facilities
2010 EI-2010 #06 Funding Responsibilities for Early 05/18/10
Intervention Services for Children at Kinder- garten Age
2010 EI-2010 #07 Paraprofessional Qualifications 06/15/10
2010 EI-2010 #08 Amended Behavior Supports for 10/25/10
Young Children
2010 EI-2010 #09 State Set Rates for Infant Toddler 11/09/10
Early Intervention Services
2011 EI-2010 #01 IDEA Early Intervention Complaint 06/01/11
Procedures
Bureau of Early Learning Services
2005 ELS-05 #19—Keystone STARS Logo Usage 10/24/05
Guidelines
2006 ELS-06 #06—Emergency Management 01/20/06
Preparedness Training-Distribution of Training Materials
2007 ELS-07 #15—2007-08 STAR Designation 08/17/07
Guidelines
2007 ELS-07 #19—Keystone STARS funding for 11/21/07
STARS facilities participating in PA Pre-K Counts 2008 ELS/KS-08 #12—Pennsylvania Director Credential 07/21/08 for Keystone STARS
2008 ELS/KS-08 #20 Revised Keystone STARS Exit 08/18/08
Survey
2008 ELS/KS-08 #28 Verification of Communication 09/12/08
2008 ELS/KS-08 #30 Keystone STARS School-Age 10/27/08
Optional Tools for 2008-2009
2008 FAP-08#1 Out-of-state Travel and Lodging 12/16/08
Prohibition Due to Current Economic Situation
2008 FAP-08#2 Update on Preschool Child Outcome 12/17/08
Reporting for OCDEL Programs
2008 ELS/KS-08 #33Designation Paperwork and ERS 12/22/08
Request
2009 ELS/KS-09 #01 Alternate Pathways for Meeting 01/09/09
2009 ELS/KS-09 #04 Canceling or Refusing ERS 02/12/09
Assessment Windows and Refusing a Scheduled Assessment
2009 ELS/KS-09 #06 Creation of STAR 3-Accreditation 02/20/09
Classification
2009 ELS/KS-09 #10 Keys to Quality Security Roles 03/30/09
2009 ELS/KS-09 #11 Star Level of Facilities Operated 04/14/09
by Regional Key, Technical Assistance and Professional Development Contractors/ Subcontractors
2009 ELS/KS-09 #15 Early Learning Network (ELN) 06/04/09
and Child Outcome Reporting in 2009-2010
2009 ELS/KS-09 #16 Professional Development Fee 06/11/09
Procedures for Keys in Quality
2009 ELS/KS-09 #20 Access to the Early Learning 07/10/09
Network Secure Web-Based System—PELICAN
2009 ELS-KS-09 #24 Joint Office of Children, Youth 07/14/09
and Families & Office of Child Development and Early Learning Bulletin: Implementation of Child Care Funding Policy Beginning State Fiscal Year 2010-2011
2009 ELS-KS-09 #25 Keystone STARS TA Manual 07/17/09
and Forms
2009 ELS-KS-09 #26 Keystone STARS Technical 07/17/09
Assistance Data Collection
2009 ELS-KS-09 #33 Environment Rating Scale (ERS) 08/27/09
Non-Achievement Protocol
2009 ELS-KS-09 #36 Keystone STARS Optional Tools 09/18/09
2009 ELS-KS-09 #37 Accessing Early Learning 09/18/09
Network and Work Sampling and Ounce Online
2009 ELS-KS-09 #38 Centers for Disease Control 09/21/09
Guidance Regarding Influenza for Early Childhood Programs
2009 ELS-KS-09 #39 Use of Hand Sanitizers in Early 09/25/09
Childhood Programs
2009 ELS-KS-0 #40 STARS Designation Renewal 09/30/09
Process
2009 ELS-KS-09 #42 Version 1.0 of Good, Better, Best: 10/19/09
Pennsylvania's Continuous Quality Improvement Guide to Best Practices
2009 ELS-KS-09 #43 STARS Status Review, 10/19/09
Suspension & Removal Process
2009 ELS-KS-09 #44 Update on Early Learning 10/19/09
Network and Child Outcome Reporting in 2009-2010
2009 ELS-KS-09 #46 Reporting Child Care Center 10/23/09
Closings Due to Influenza
2009 ELS-KS-09 #47 Excluding and Readmitting 10/26/10
Children and Staff with Influenza-like Illness
2010 ELS-KS-10 #01 STARS Designation Certificates 01/12/10
2010 ELS-KS-10 #02 Update on Early Learning Network 01/14/10
and Child Outcome Reporting in 2009-2010
2010 ELS-KS-10 #03 Pennsylvania Quality Assurance 03/08/10
System (PAQS) Requirements
2010 ELS-KS-10 #05 Keystone STARS Staff 04/16/10
Qualification Waiver with Action Plan
2010 ELS-KS-10 #09 Career Lattice Level for College 05/12/10
Students Pursuing a Bachelor's Degree
2010 ELS-KS-10 #11 Revised Record Required by 06/18/10
Providers for FY 04-05 or FY 05-06
2010 ELS/KS-10 #14 2010-2011 Keystone STARS 07/20/10
Worksheets for Family Child Care Homes
2010 ELS/KS-10 #16 Certification Referral to the 07/30/10
Regional Key
2010 ELS/KS-10 #17 ERS Intranet Communication 08/12/10
Tool
2010 ELS/KS-10 #19 Designator Reliability Protocol 08/20/10
2010 ELS/KS-10 #20 Environment Rating Scale 08/24/10
(ERS) Process
2010 ELS/KS-10 #21 STARS Designation Forms 08/24/10
And Tools
2010 ELS/KS-10 #22 2010-2011 Start with STARS 08/24/10
and Support Grant Requests
2010 ELS/KS-10 #23 2010-2011 STARS Merit and 08/24/10
Education & Retention Award (MERA) Requests
2010 ELS/KS-10 #24 2010-2011 Keystone STARS 08/30/10
Grant Agreement Documents
2010 ELS/KS-10 #27 Financial Guidelines for Regional 10/01/10
Keys
2010 ELS/KS-10 #28 Revised Career Lattice and Early 10/19/10
Childhood Education Teacher Quality: Recognizing High Quality in PA
2010 ELS/KS-10 #29 Funds Management of Keystone 10/28/10
STARS Provider Grant Awards
2010 ELS/KS-10 #30 Keystone STARS Qualifications 11/10/10
Action Plans
2010 ELS/KS-10 #32 Keystone STARS Media Materials 11/29/10
2010 ELS/KS-10 #34 2011-2012 Keystone STARS 12/15/10
Performance Standards for Centers
2010 ELS/KS-10 #35 Keystone STARS Technical 12/23/10
Assistance Accountability Plan (STARS-TAAP)
2010 ELS/KS-10 #36 Online Facility Professional 12/27/10
Development Plan Survey Collection
2010 ELS/KS-10 #37 Regional Keys Records 12/27/10
Management, Conversions and Transmissions
2011 ELS/KS-11 #01 2011-2012 Keystone STARS 02/07/11
Performance Standards for Group Homes
2011 ELS/KS-11 #02 2011-2012 Keystone STARS 02/10/11
Performance Standards for Family Child Care Homes
2011 ELS/KS-11 #03 2011-2012 Keystone STARS 02/11/10
Worksheets for Centers
2011 ELS/KS-11 #04 2011-2012 Keystone STARS 02/18/11
Worksheets for School Age Child Care (SACC)
2011 ELS/KS-11 #05 2011-2012 Keystone STARS 02/18/10
Worksheets for Head Start
2011 ELS/KS-11 #06 2011-2012 Keystone STARS 02/23/11
Worksheets for Group Homes
2011 ELS/KS-11 #07 Regional Keys Program Review 03/09/11
Instrument (PRI) and Monitoring Documents
2011 ELS/KS-11 #08 Organizational Pennsylvania 04/06/11
Quality Assurance System (PQAS) Requirements
2011 ELS/KS-11 #09 Collaboration between Child Care 05/06/11
Information Services Agencies, the PA Keys and Local Education and Resource networks (LEARN)
2011 ELS/KS-11 #10 Keystone STARS Tiered 05/27/11
Reimbursement
2011 ELS/KS-11 #11 STARS Enrollment Calculation 06/14/11
Tool: Full-Time Equivalency (FTE)
2011 ELS/KS-11 #12 2011-2012 Local Education and 06/14/11
Resource Network Agreement
Nurse Family Partnership
2008 ELS/NFP #01 OCDEL Announcements 01/08/08
2008 ELS/NFP #02 County Needs-Based Budget 01/08/08
Funding for Nurse-Family Partnership Services
2008 ELS/NFP #03 Documentation for Unserved 01/08/08
Clients Requesting Service
2009 ELS/NFP #06 NFP Enrollment Policies and 07/20/09
Reporting Procedures
2009 ELS/NFP #07 Centers for Disease Control 09/21/09
Guidance Regarding Influenza for Early Childhood Programs
2009 ELS/NFP #08 Use of Hand Sanitizers in Early 09/25/09
Childhood Programs
2009 ELS/NFP #09 Reporting Child Care Center 10/23/09
Closing Due to Influenza
2009 ELS/NFP #10 Excluding and Readmitting 10/26/09
Children and Staff with Influenza-like Illness
2009 ELS-NFP #11 Annual Grantee Professional 11/06/09
Development Requirements
2009 ELS-NFP #12 Management of State Funds 11/06/09
Bureau of Subsidized Child Care Services
2005 S-05 #04—Unemployment Compensation Claims 06/28/05
Filed By Relative/Neighbor Providers Announcement
2005 S-05 #06—Policy Changes-CareCheck, Payment 06/28/05
Rates, and Closed Days Announcement
2006 S-06 #05—Revisions to Relative/Neighbor Provider 06/06/06
Payment Policy
2006 S-06 #10—Clarification of the Roles between Child 10/04/06
Care Information Services, the PA Key, Regional Keys, and Community Engagement Groups
2007 S-07 #01—Child Care Information Services 02/26/07
Grant Announcement
2007 S-07 #08—PA Pre-K Counts and Child Care 09/18/07
Works: Enrollment and Release of Information Procedures
2007 S-07 #09—Pelican Announcement 11/07/07
2008 S-08 #05—Federal Criminal History Clearances 06/18/08
for Relative/Neighbor Providers
2009 S-09 #03 2009 Income Limits and Co-payment 04/03/09
Guidelines
2009 S-09 #05 Care Level for Kindergarten Children 06/17/09
Changing from Preschool (PSE) to Young School Age (YSA)
2009 S-09 #06 CareCheck Payment Policy 06/22/09
2009 S-09 #07 Training Requirement for Relative/ 06/26/09
Neighbor Child Care Providers (Projected)
2009 S-09 #08 Relative/Neighbor Provider Agreement
2009 S-09 #09 In-Home Care Parent-Caretaker Provider Agreement
2009 S-09 #10 Joint Office of Children, Youth & Families & Office of Child Development & Early Learning Bulletin: Implementation of Child Care Funding Policy Beginning State Fiscal Year 2010-2011
2009 S-09 #13 Centers for Disease Control Guidance Regarding Influenza for Early Childhood Programs
2009 S-09 #14 Use of Hand Sanitizers in the Early Childhood Programs
2009 S-09 #15 Keystone STARS Tiered Reimbursement
2009 S-09 #16 Reporting Child Care Center Closings Due to Influenza
2009 S-09 #17 Excluding and Readmitting Children and Staff with Influenza-like Illness
2009 S-09 #18 Linking Pennsylvania Pre-K Counts and Child Care Works Subsidized Child Care
2010 S-10 #01 Child Care Information Services Grant Renewal for Fiscal Year 2010-11 Provider Rate Collection
2010 S-10 #03 Keystone Babies
2010 S-10 #04 ELS Keys to Quality Regional Key Grantees Announced
2010 S-10 #05 Fiscal year 2009-2010 Recap Submission Deadline
S-10 #06 Collaboration between Child Care 12/13/10
Information Services Agencies, the PA Key, Regional Keys, and Community Engagement Groups
2011 S-11 #01 Child Care Information Services Grant 03/16/11
Renewal for Fiscal Year 2011-12
S-11 #02 2011 Income Limits and Co-Payment Guidelines (2) 04/04/11
S-11 #03 Local Education and Resource Networks (LEARN) 04/28/11
S-11 #04 Keystone STARS Tiered Reimbursement 05/27/11

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 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 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
• PAFASTFILE—PIT Electronic Book for TeleFile/pa.direct.file.pa/irs e-file (2001 and later-order by year needed)
• 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 (Partnership/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 Cig. Excise Floor Tax Return
• 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

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

• PA1345 Handbook for Electronic Filers
• PA1346 Electronic Return Filing Specifications for Individual Tax Forms
• 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, Chapter 61
• Returned Check Fee, 49 Pa. Code, Chapter 63
Contact: Kim Mattis (717) 772-5193

State Athletic Commission
• Athletic 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: Mary Sue Ferster (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
Contact: Heidy Weirich (717) 783-1253

State Board of Medicine
• Disciplinary Guidelines for Use of Anabolic Steroids, 49 Pa. Code § 16.97
• Expert Witnesses, 49 Pa. Code § 16.52a
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: Mary Sue Ferster (717) 783-7155

State Board of Osteopathic Medicine
• Disclosure of Financial or Ownership Interest, 49 Pa. Code § 25.291
Contact: Tammy Dougherty (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
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 Charitable Organizations
• Registration Packets for Charitable Organizations, Professional Solicitors and Professional Fundraising Counsels
Contact: James Swoyer (717) 783-1720

Corporation Bureau
• A Guide to Business Registration in Pennsylvania
Contact: Barbara Kennedy (717) 783-9210

Bureau of Professional and Occupational Affairs
• 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 Barber Examiners
• Policy Manual
Contact: Kelly Diller (717) 783-3402

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 Cosmetology
• Policy Manual
• Special Notice—Summary of General Revisions to Regulations 2009
• Special Notice—Letter Regarding Physician Certificate
• Frequently Asked Questions of the Cosmetology Board
Contact: Kelly Diller (717) 783-7130

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

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

State Board of Massage Therapy
• Frequently Asked Questions of the State Board of Massage Therapy
Contact - Judy Harner (717) 783-7155

State Board of Medicine
• Policy Manual
• Guideline for the Use of Controlled Substances in the Treatment of Pain (1998)
• Foreign Specialty Certification Boards 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—Clarification Regarding Professional Liability Insurance for Physician Assistants
• Special Notice—Home Health Care Services Ordered by Out-of-State Physicians
• Special Notice—Respiratory Therapists Continuing Education Requirements
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 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
 • 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 Optometry
• 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—Home Health Care Services Ordered by Out-of-State Physicians
• Special Notice—Osteopathic Manipulative Treatment (OMT) Examination
Contact: Tammy Dougherty (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—Update on Continuing Education Requirements
• Special Notice—Clarification on the Updated Practice Act
• Special Notice—Physical Therapists Assistants to Practice with Indirect Supervision
• Special Notice—Home Health Care Services Ordered by Out-of-State Physicians
Contact: Michelle Roberts (717) 783-7134

State Board of Podiatry
• Special Notice—Pennsylvania Health Alert Network
• Podiatry Board Credentials Verification Fact Sheet
• Special Notice—Home Health Care Services Ordered by Out-of-State Physicians
• Notice—Continuing Medical Education
Contact: Tammy Dougherty (717) 783-4858

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

State Board of Psychology
• Guidance Manual
• Guideline: Education Requirements
• Guideline: Persons Licensed in Other States
• Special Notice—Changes in Education, Examination and Experience Requirements
• Special Notice—Application to Practice Psychology for Persons Licensed in Other States
Contact: Chris Stuckey (717) 783-7155

State Real Estate Commission
• Guideline: Real Estate Assistants
• Guideline: Home Offices
• Guideline: Team Advertising
• Guideline: Relationship Between Educational Providers and Real Estate Companies and Brokers
• Guideline: Internet Advertising
• Policy Manual
• Frequently Asked Questions of the State Real Estate Commission
• Applications: Experience Requirements and Point System for Applicants for Broker's Licenses
• List of States Willing/Not Willing to Enter Into Reciprocal Agreements
• List of Currently Approved Real Estate Education Providers
• List of Board Approved Continuing Education Providers
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-Home Health Care Services Ordered by Out-of-State Physician
• Special Notice-New Continuing Education (CE) Requirements for Dual Licensees
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
• Special Notice—Change of Policy for Applicants for Social Work License
• Special Notice—Clarification Regarding Supervised Clinical Experience for Marriage and Family Therapists and Professional Counselors
• Special Notice—Continuing Education
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
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
• Becoming a Notary Public in Pennsylvania
Contact: Suzanne Seitz (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[00f1]a (717) 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
Contact: Lisa Burns (717) 783-7162

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

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: Mary Sue Ferster (717) 783-7155

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

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

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

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

State Board of Veterinary Medicine
• Probable Cause Screening Committee
• 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—Termination 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 Cultural Awareness Brochure (SP5-344)
Terrorism Tip Line Card
Storage Facility Terrorism Indicator Card

Bureau of Human Resources
Enlisted Employment Information
 Application for State Police Cadet
General Cadet Information (SP5-349)
Pennsylvania State Police: A Challenging Career That  Makes a Difference
Pennsylvania State Police General Information SP3-313  (7-2001)

Liquor Enforcement Employment Information
 Application for Liquor Enforcement Officer Trainee
General Information Brochure (SP5-348)

Civilian Employment Information
 General Information Pamphlet (SP5-346)
Police Communicators Operator Pamphlet (SP5-347)
Personal Data Sheet for Employment (STD-300)
Civil Service Application

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)
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 (2002, 2003,  2004, 2005)
Pennsylvania State Police Annual Report (2002, 2003,  2004, 2005)
Crime in Pennsylvania: Uniform Crime Executive Sum mary (2002, 2003, 2004, 2005)

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)

Equal Employment Opportunity Office
Equal Employment Opportunity Plan, Statement of Man agement Commitment (1-02)
Equal Employment Opportunity Plan (1-02)

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)

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 PLANNING &  RESEARCH


Category: INTERNAL GUIDELINES
Publication / Document Name: Pennsylvania Traffic Data
Pub/Doc#: Pub 601
Publication last Updated: Aug-11

Bureau Responsible: BUREAU OF PLANNING &  RESEARCH
Category: INTERNAL GUIDELINES
Publication / Document Name: PA Highway Statistics  Book
Pub/Doc#: Pub 600
Publication last Updated: March-12

Bureau Responsible: CENTER FOR PROGRAM
 DEV & MGT

Category: GUIDANCE MANUALS
Publication / Document Name: Transportation Manage ment Association Assistance Program Guidelines (SPC  and DVRPC)
Pub/Doc#:
Publication last Updated: Oct-11

Bureau Responsible: BUREAU OF MOTOR
 VEHICLES

Category: GUIDANCE MANUALS
Publication / Document Name: Pennsylvania Driver's  Manual (English)
Pub/Doc#: Pub 95
Publication last Updated: October 2011

Bureau Responsible: BUREAU OF MOTOR
 VEHICLES

Category: GUIDANCE MANUALS
Publication / Document Name: Pennsylvania Driver's  Manual (Spanish)
Pub/Doc#: Pub 95S
Publication last Updated: December 2011

Bureau Responsible: BUREAU OF MOTOR
 VEHICLES

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: February 2012

Bureau Responsible: BUREAU OF MOTOR
 VEHICLES

Category: GUIDANCE MANUALS
Publication / Document Name: Commercial Driver's  Manual
Pub/Doc#: Pub 223
Publication last Updated: December 2011

Bureau Responsible: EQUAL OPPORTUNITY
Category: POLICY STATEMENTS
Publication / Document Name: External Contract Compli ance Policy Statement
Pub/Doc#:
Publication last Updated: Jan-12

Bureau Responsible: EQUAL OPPORTUNITY
Category: GUIDANCE MANUALS
Publication / Document Name: 2012 External Equal  Opportunity Plan (Contract Compliance)
Pub/Doc#:
Publication last Updated: Feb-12

Bureau Responsible: EQUAL OPPORTUNITY
Category: INTERNAL GUIDELINES
Publication / Document Name: State Assurances with Re gard to Equal Opportunity as Required by the Federal- Aid Highway Act of 1968
Pub/Doc#:
Publication last Updated: Jan-12

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: Disability-Related Em ployment Policy for Applicants/Employees with Dis abilities
Pub/Doc#:
Publication last Updated: Feb-12

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: EEO Policy Statement
Pub/Doc#:
Publication last Updated: Feb-12

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: Harassment/Hostile Work  Environment Policy
Pub/Doc#:
Publication last Updated: Feb-12

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: Sexual Harassment Policy  Statement
Pub/Doc#:
Publication last Updated: Feb-12

Bureau Responsible: HUMAN RESOURCES
Category: POLICY STATEMENTS
Publication / Document Name: 2010 Internal Equal Em ployment Opportunity Plan State
Pub/Doc#:
Publication last Updated: Mar-12

Bureau Responsible: BUREAU OF PUBLIC
 TRANSPORTATION

Category: OTHER
Publication / Document Name: Pennsylvania Public  Transportation Annual Performance Report—Executive  Summary and Transit Agency Profiles Fiscal Year  2010-11
Pub/Doc#:
Publication last Updated: Apr-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

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-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

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-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Bridge Collapse or Tunnel  Failure Board of Inquiry Investigation Teams
Pub/Doc#: Pub 220
Publication last Updated: Feb-11

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Design Manual Part 4:  May 2012 Edition
Pub/Doc#: Pub 15M
Publication last Updated: May-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Active Bridge Design &  Construction Standards: Release of Change No. 1 to BC  700M Series
Pub/Doc#: Pub 219M
Publication last Updated: Oct-10

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Finals Unit Manual
Pub/Doc#: Pub 11
Publication last Updated: May-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Specifications for Consult ant Agreements for Project Development Services
Pub/Doc#: Pub 442
Publication last Updated: May-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Construction Cost Catalog  of Standard Construction Items ftp://ftp.dot.state.pa.us/ public/bureaus/design/pub408/pub 408-2011.pdf
Pub/Doc#: Pub 287
Publication last Updated: Apr-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Grade Crossing Manual
Pub/Doc#: Pub 371
Publication last Updated: Jul-11

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Roadside Safety Pocket  Guide
Pub/Doc#: Pub 652
Publication last Updated: Feb-11

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: POLICY STATEMENTS
Publication / Document Name: Project Level Public In volvement Handbook
Pub/Doc#: Pub 295
Publication last Updated: Nov-12

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 March-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

Category: INTERNAL GUILDELINES
Publication / Document Name: Pennsylvania Test Meth ods (PTM) (Nov-03 Edition)
Pub/Doc#: Pub 19
Publication last Updated: February-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

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-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

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-12

Bureau Responsible: BUREAU OF PROJECT
 DELIVERY

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-12

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

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 &
 OPERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Automated Pavement  Condition Surveying Field Manual
Pub/Doc#: Pub 336
Publication last Updated: Apr-12

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: CRC Pavements and Un paved Roads Condition Survey Field Manual
Pub/Doc#: Pub 343
Publication last Updated: Apr-12

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Shoulder and Guide Rail  Condition Survey Field Manual
Pub/Doc#: Pub 33
Publication last Updated: Apr-12

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Drainage Condition Sur vey Field Manual
Pub/Doc#: Pub 73
Publication last Updated: Apr-12

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: GUIDANCE MANUALS
Publication / Document Name: Waste Management Guid ance
Pub/Doc#: Pub 611
Publication last Updated: Dec-11

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: POLICY STATEMENTS
Publication / Document Name: Traffic Standards-Signals;  TC-8800 Series
Pub/Doc#: Pub 148
Publication last Updated: Dec-11

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: POLICY STATEMENTS
Publication / Document Name: ITS Design Guide
Pub/Doc#: Pub 646
Publication last Updated: Apr-11

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: POLICY STATEMENTS
Publication / Document Name: ITS Maintenance Stan dards
Pub/Doc#: Pub 697
Publication last Updated: Apr-11

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: POLICY STATEMENTS
Publication / Document Name: Statement of Policy- Determination of Local Traffic
Pub/Doc#:
Publication last Updated: May-12

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: POLICY STATEMENTS
Publication / Document Name: Maintenance Manual
Pub/Doc#: Pub 23
Publication last Updated: Jul-10

Bureau Responsible: BUREAU OF MAINT &
 OPERATIONS

Category: POLICY STATEMENTS
Publication / Document Name: Storage Tank Manual
Pub/Doc#: Pub 694
Publication last Updated: Sep-10

Bureau Responsible: BUREAU OF AVIATION
Category: GUIDANCE MANUAL
Publication / Document Name: Aviation Development  Airport Sponsor's Guide
Pub/Doc#: Pub 405
Publication last Updated: Aug-12

[Pa.B. Doc. No. 12-1497. Filed for public inspection August 3, 2012, 9:00 a.m.]



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