Senator Richard Kasunic
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Applications & Forms

General

  • Absentee Ballot Application
  • Birth Certificate Application
  • 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
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Applications for State Employment

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

  • 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
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  • Latest News

    • Kasunic and Mahoney Pleased with Decision to Allow Table Games at Nemacolin February 20, 2013
    • Senate Committee Gives Nod to Kasunic’s Mine Water Bill February 13, 2013
    • Kasunic Praises 2-1-1 Phone hotline for Human Services Information February 8, 2013
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Harrisburg Office

Senate Box 203032
Harrisburg PA 17120
Phone: 717-787-7175
Fax: 717-787-0195

Dunbar District Office

1192 University Drive
Dunbar PA 15431
Phone: 724-626-1611
Fax: 724-626-3005

Somerset District Office

118 S Center Avenue, Ste. 1
Somerset, PA 15501
Phone: 814-445-7675
Fax: 814-445-2335

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