Pennsylvania State Government Forms

Form Title	Agency	Topics
17b – BCA Data Template Flood Hurricane	Pennsylvania Emergency Management Agency
17 Buyer's Statement/Source of Funds	Housing Finance Agency
17 Buyer's Statement/Source of Funds (Declaración del comprador/Fuente de fondos)	Housing Finance Agency
17c – Ecosystem Service Benefits in Benefit-Cost Analysis for FEMA’s Mitigation Programs Policy	Pennsylvania Emergency Management Agency
17 – FEMA Benefit Cost Analysis (BCA) Toolkit Version 6.0 User Guide	Pennsylvania Emergency Management Agency
18-01 - Disaster Declaration Face to Face waiver	Department of Drug and Alcohol Programs
18-01 Pregnant and Parenting with OUD	Department of Drug and Alcohol Programs
18-02 - Annual Licensure Requirement Waiver	Department of Drug and Alcohol Programs
18-03 - DDAP Fiscal Manual Modifications	Department of Drug and Alcohol Programs
18-03 - NTP Medication Units Waiver	Department of Drug and Alcohol Programs
18-04 - Urinalysis Requirements	Department of Drug and Alcohol Programs
18-05 - Short-Term MAT	Department of Drug and Alcohol Programs
19-01 - Alert Emergency Contacts	Department of Drug and Alcohol Programs
19-01 Prevention Manual Update	Department of Drug and Alcohol Programs
19-02 AOPC Confidentiality	Department of Drug and Alcohol Programs
19-02 - Cont'd Tx During Grievance and Appeal	Department of Drug and Alcohol Programs
19-03 - Role of CRS Working with Overdose Survivors	Department of Drug and Alcohol Programs
19-04-01 Health and Wellness Annual Plan Format_Title IIID	Department of Aging
19 Addendum to Note/Construction Loan	Housing Finance Agency
19 – FEMA Non-Disaster Grants Letter of Interest	Pennsylvania Emergency Management Agency