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Contact Information
District Office
250 W. Chocolate Avenue
Suite 2
Hershey, PA 17033
Phone: (717) 534-1323
Fax: (717) 534-1457
Hours: Mon-Thurs 7a.m.-3:30p.m.
Fri 8 a.m.- 11:30 a.m.
Capitol Office
416 Irvis Office Building
House Box 202106
Harrisburg, PA 17120-2106
Phone: (717) 787-2684
Fax: (717) 787-7557
Hours: Mon - Fri 9 a.m.- 4:30 p.m.
Email
:
jpayne106@pahousegop.com
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Forms and Applications
Miscellaneous
Birth Certificate
Birth Certificate
Child Abuse History Certification
Child Abuse History Certification
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Criminal History Background Check
Death Certificate
Death Certificate
PA Insurance Dept - File a Complaint
PA Insurance Dept - File a Complaint
Fictitious Names
Fictitious Names
Apply for Medicaid Benefits
Apply for Medicaid Benefits
PACE/PACENET
PACE/PACENET
PAE Family Adoption Form
PAE Family Adoption Form
File a Complaint about Financial Entities
File a Complaint about Financial Entities
Unemployment Compensation Resources
Unemployment Compensation Resources
Voter Registration Information
Voter Registration Information
Transportation
DL-31 Application to Add / Extend / Replace / Change / Correct Non-Commercial Learner's Permit
DL-31 Application to Add / Extend / Replace / Change / Correct Non-Commercial Learner's Permit
DL-80 Application for Change / Correction / Replacement of Non-Commercial Driver's License
DL-80 Application for Change / Correction / Replacement of Non-Commercial Driver's License
DL-80CD Application to Replace / Correct Commercial Driver's License
DL-80CD Application to Replace / Correct Commercial Driver's License
DL-135 Request for Vehicle Information
DL-135 Request for Vehicle Information
DL-143 Non-Commercial Driver's License Renewal Application
DL-143 Non-Commercial Driver's License Renewal Application
DL-180 Initial Non-Commercial Learner's Permit Application
DL-180 Initial Non-Commercial Learner's Permit Application
DL-503 Request for Driver Information (copy of Driving Record)
DL-503 Request for Driver Information (copy of Driving Record)
MV-41 Application for Correction or Change of Vehicle Record
MV-41 Application for Correction or Change of Vehicle Record
MV-41A Application for Correction or Change of Name
MV-41A Application for Correction or Change of Name
MV-44 Application for Duplicate Registration Card, Replacement of Registration Plate, Renewal Sticker or Weight Class Sticker of Transfer of Registration
MV-44 Application for Duplicate Registration Card, Replacement of Registration Plate, Renewal Sticker or Weight Class Sticker of Transfer of Registration
MV-63 Change of Address for Driver's License, Photo ID and Vehicle Registration
MV-63 Change of Address for Driver's License, Photo ID and Vehicle Registration
MV-140 Request for Registration / Renewals
MV-140 Request for Registration / Renewals
MV-145A Person with Disability Parking Placard Application
MV-145A Person with Disability Parking Placard Application
MV-38O Application for Duplicate Certificate of Title by Owner
MV-38O Application for Duplicate Certificate of Title by Owner
MV-904 Application for Special Registration Plate (Personalized)
MV-904 Application for Special Registration Plate (Personalized)
MV-911 Application for Special Fund License Plate
MV-911 Application for Special Fund License Plate
MV-371 Application for A Retired Persons $10.00 Processing Fee On A Vehicle Registration (additional municipal fees may apply)
MV-371 Application for A Retired Persons $10.00 Processing Fee On A Vehicle Registration (additional municipal fees may apply)
MV-916 Application for ‘In God We Trust’ registration plate
MV-916 Application for ‘In God We Trust’ registration plate
Revenue
PA-40 Income Tax Form
PA-40 Income Tax Form
PA Online Business Entity Registration (formerly PA-100)
PA Online Business Entity Registration (formerly PA-100)
Property Tax/Rent Rebate Program Forms
Property Tax/Rent Rebate Program Forms
Personal Income Tax Forms
Personal Income Tax Forms
Register a Business
Register a Business
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