 |
Municipal Services Forms and Publications
|
|
The following forms and publications are available for download. Click the arrow to the left of the form or publication name to view the description and the formats available.
- If prompted to enter a password, click OK. A password is not required to view or download these forms.
All forms and/or publications require either the free Adobe Acrobat Reader program (to read PDF files) or the Microsoft Excel program. Adobe Acrobat Reader can be acquired for free by clicking on the "Get Adobe Reader" picture below, however Microsoft® Excel® must be purchased from a licensed dealer.
For proper routing instructions of forms, please contact your local Municipal Services Representative. |
|
|
|  MS-339 Application for County Aid
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| An application for municipalities requesting to receive County aid funds | | | |
|
| MS-340 Encumber Form
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Counties Only Application to encumber liquid fuels funds | | | |
|
| MS-903 Treasurer Account Book and Instructions
Description | PDF | Excel 97 - 2003 | Excel 2007 |
Treasurers Account Book (xls)
Treasurers Account Book Instructions (pdf) | | | |
|
| MS-907 Weekly, Biweekly or Semi-Monthly Eligible Report
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| to generate data to complete state and federal reporting requirements | | | |
|
| MS-907D Municipal Payroll Database
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| to generate data to complete state and federal reporting requirements | | | |
|
| MS-944 Proposal and Contract for Purchase of Materials and Services
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Proposal and Contract for the Purchase of Materials or Services in Place | | | |
|
| MS-963 Contract for the Purchase of Materials
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Contract fo the Purchase of Materials | | | |
|
| MS-965 Actual Use Report of State Funds
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Municipalities Only: Indicates the receipt and expenditure of liquid fuels monies during the fiscal year along with planned used in subsequent year and certification of treasurer's bond | | | |
|
| MS-970 Agreement for Rental of Equipment
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Proposal and Contract for the Rental of Equipment with operators | | | |
|
| MS-991 County Liquid Fuels Tax Fund Report
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Counties Only (includes MS-992, MS-993 and MS-340): Indicates the receipt and expenditure of liquid fuels monies during the fiscal year. | | | |
|
| MS-994 Investment Schedule
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| to document and track Liquid Fuels Funds invested in CD's, Money Market accounts and other investment instruments | | | |
|
| MS-999L Liquid Fuels Project Completion Report
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| to document projects using Liquid Fuels allocations | | | |
|
| MS-999T Turnback Completion Report with MS-999TRC Record of Checks
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| to be used to report the completion of a Turnback project. Also includes the Record of Checks pages | | | |
|
| Sample Turnback Agreement
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| used as a template for municipal governments and PennDOT when drafting a Turnback Agreement | | | |
|
| Act 44
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Counties Only: Report of Act 44 Funds shows expenditure of Act 44 Funds during the fiscal year | | | |
|
| Electronic Access Licensing Agreement (EALA)
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| The Electronic Access Licensing Agreement is required for gaining access to the dotGrants online reporting system. | | | |
|
| EFT Enrollment Form
Description | PDF | Excel 97 - 2003 | Excel 2007 |
To have payments (Liquid Fuels, State Police Fines & Penalties, Turnback) from the Commonwealth of Pennsylvania deposited to your bank account.
The completed and signed form should be faxed to the Central Vendor Management Unit at 717-214-0140 | | | |
|
| Municipal Resolution
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| The Municipal Resolution is required for gaining access to the dotGrants online reporting system. | | | |
|
|
|
| PUB 9 - Policies and Procedures for Liquid Fuels
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| details the policies and procedures for the administration of the County Liquid Fuels Tax Act of 1931 and the Liquid Fuels Tax Act 655 | | | |
|
| PUB 310 - Road Turnback Program
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| to generate data to complete state and federal reporting requirements | | | |
|
| PUB 372 - Pocket Guide
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| Pocket Guide for Road Construction and Maintenance | | | |
|
| PUB 447 - Approved Products for Lower Volume Local Roads
Description | PDF | Excel 97 - 2003 | Excel 2007 |
| contains a listing of approved materials or processes that have demonstrated the ability to meet the Bureau of Municipal Services' specification requirements and are eligible to be considered form Liquid Fuels Fund Expenditures on municipal, maintenance and construction projects. | | | |
|
|
You need Acrobat Reader to view documents marked PDF. Click the link below to download. |
| |
| If you encounter any problems with these forms please call (717) 783-3719 or email: ra-pennDOT_BoMS@pa.gov |