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Contact My Office
E-mail:
jlawrenc@pahousegop.com
District Office
1 Commerce Blvd., Suite 200
West Grove, PA 19390
Phone: 610-869-1602
Fax: 610-869-1605
Capitol Office
B-14 Main Capitol
PO Box 202013
Harrisburg, PA 17120-2013
Phone: 717-260-6117
Fax: 717-772-9869
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Forms and Applications
Miscellaneous
Birth Certificate
Birth Certificate
Child Abuse History Clearance Form
Child Abuse History Clearance Form
Criminal Record Check Form
Criminal Record Check Form
Death Certificate
Death Certificate
Federal Stafford Loan Form
Federal Stafford Loan Form
Insurance Complaint Form
Insurance Complaint Form
Fictitious Name Application
Fictitious Name Application
Medicaid Application
Medicaid Application
Notary Public Application
Notary Public Application
PACE / PACENET Application
PACE / PACENET Application
PAE Family Adoption Form
PAE Family Adoption Form
PA Securities Commission Complaint Form
PA Securities Commission Complaint Form
Unemployment Compensation Benefits Application
Unemployment Compensation Benefits Application
Voter Registration Application
Voter Registration Application
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
MV-371 Application for A Retired Persons $10.00 Processing Fee On A Vehicle Registration
Revenue
PA-40 Income Tax Return
PA-40 Income Tax Return
PA-100 Enterprise Registration Form
PA-100 Enterprise Registration Form
PA-1000 Property Tax/Rent Rebate Form
PA-1000 Property Tax/Rent Rebate Form
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