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Senator Tim Kearney
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Applications & Forms

General

  • Absentee & Mail-In Ballot Application
  • Birth & Death Certificate Application
  • Criminal Record Check Application
  • Child Abuse Clearance Application
  • Consumer Complaint Forms
  • Grant Application
  • Hunting License
  • Insurance Complaint Form
  • Fishing License
  • Notary Public Applications
  • Prescription Assistance Applications
  • Pennsylvania Department of Revenue
  • Public Utility Commission Complaint Form
  • Property Tax & Rent Rebate Forms
  • State Income Tax Forms
  • Voter Registration Application

Applications for State Employment

  • State Civil Service Commission Application
  • Bureau of State Employment Personal Data Sheet

Department of Human Services

  • Application for Benefits (Medical Assistance, Food Stamps, Cash Assistance)
  • Application for Medical Assistance for Workers with Disabilities (MAWD)
  • Application for Medicare Part B Payment
  • HIPAA Release Form
  • COMPASS Site
  • County Assistance Offices

Services

  • → Applications & Forms
  • → Scheduling Requests
  • → Scholarships/Grants
  • → Toll Free Numbers
  • → Useful Links
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Springfield Office

130 S. State Road
Suite 101
Springfield, PA 19064
Phone: 610-544-6120
Fax: 610-544-6140
Mon.-Fri.: 8:30 am – 4:30 pm

Upper Darby Office

51 Long Lane
Upper Darby, PA 19082
Phone: 610-352-3409
Fax: 610-352-3641
Mon.-Thurs.: 8:30 am – 4:30 pm

Harrisburg Office

463 Main Capitol Building
Senate Box 203026
Harrisburg, PA 17120-3026
Phone: 717-787-1350
Fax: 717-787-0196
Mon.-Fri.: 8:30 am – 4:30 pm

Easttown Mobile Office

Easttown Library
720 First Avenue
Berwyn, PA 19312
2nd Wed. of the month: 1 pm – 3 pm

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Copyright © 2020 State Senator Tim Kearney. All Rights Reserved.