Skip to Main Content
Skip to Navigation

Inventory of Online Forms

Thruway Authority Inventory of Online Forms
Form Name
Form Title
Advertising Device Permit Application TA-W4307
Affidavit of Payment to Subcontractors and/or Materialmen TA-W44118
Americans With Disabilities Act Complaint TA-W1003
Application for Extension of Date of Completion of Contract TA-W4436
Application For Revocable License To Use New York State Thruway Authority Publications, Recordings And/Or Images TA-W2003
Application for Special Permit to Operate LCV/Tandem Vehicle TA-W6818
Application for Traffic Camera Broadcast TA-W6800
Authorization of Extra Work TA-W4404
Bidder Request for Information TA-W44137
Bond TA-W5181
Cash Surety Deposit TA-W5106
Certificate of Compliance with the Authority Guidelines Regarding Permissible Contacts During a Procurement and The Prohibition of Inappropriate Lobbying Influence TA-W2111
Commercial Account Vehicle Update Form TA-W63227
Commercial Charge Account Information Update Request Form TA-W5111
Commercial Road Service Application/Permit TA-W68159
Conditions For Commercial Road Service Permit Medallion Placement TA-W68159A
Contract Partial Acceptance TA-W4427
Federal-Aid Highway Construction Contractors Annual EEO Report TA-W1064 Excel 
Consultant Application for an Extension of Completion Date TA-W4445
Exhibit E – Consultant's Cost Control Report TA-W4453 Excel 
Consultant's Standard Agreement (Cost & Fixed Fee) Single Assignment [Example A] TA-W5213A Excel 
Consultant's Standard Agreement (Cost & Fixed Fee) Multiple Assignments [Example B] TA-W5213B Excel 
Consultant's Term Agreement (Multiplier) Multiple Assignments [Example C] TA-W5213C Excel 
Consultant's Material Testing Agreement [Example D] TA-W5213D Excel 
Consultant's Payment Request Transmittal TA-W44128
Consultant's Payroll Abstract TA-W44127
Contract Final Acceptance TA-W4437
Contractor Request for Union Personnel TA-W1018
Contractor/Consultant Waiver Request TA-W1077
Contractor Waiver Request - Purchasing Services TA-W3243
Credit Agreement TA-W51312
Customer Report TA-W63172
Payments (Consultant) TA-W1059
Payments (Contractor) - Purchasing Services TA-W3240
DBE/MWBE Utilization Worksheet TA-W1037 Excel 
DBE/MWBE Utilization Worksheet Amendment TA-W1074 Excel 
Electronic Payment Authorization form TA-W5201
E-ZPass Application for Disabled Veteran Non-Revenue Plan TA-W5175
E-ZPass Application for Disabled Veteran Revenue Plan TA-W5080
Payments (Contractor) TA-W1023
DBE/MWBE/SDVOB Solicitation Log TA-W1055
Disclosure of Prior Non-Responsibility Determinations (NYS Finance Law Sections 139-j and 139-k) TA-W3053
Electronic Trip Register (E-Trips) Enrollment TA-W5135
Employment Application TA-W3199
Estimated Surety Worksheet TA-W5105
Explanation Worksheet for Order on Contracts and Supplemental Agreements TA-W4108B
E-ZPass Tag Order Form Motorhome/Passenger Vehicle Towing Combinations TA-W68176
E-ZPass Tag Order - Commercial Charge Account Customer TA-W68161
Inspector’s Daily Bridge Painting Report  TA-W44110
LCV/Tandem Operations Application/Permit TA-W6807
LCV/Tandem Equipment Application/Certification - Tractor TA-W6808
LCV/Tandem Equipment Application/Certification - Converter Dolly  TA-W6811
LCV/Tandem Equipment Application/Certification - Lead Trailer  TA-W6809
LCV/Tandem Maintenance Vehicle Application/Permit  TA-W6812
Monthly Workforce Utilization Composite TA-W1017 Excel 
Occupancy Permit Application Supplement TA-W5123
Overweight Bulk Milk Haulers Permit TA-W68134
Vehicle Damage Claim Form TA-W1552
Placement Guide for LCV/Tandem Maintenance Vehicle Medallion TA-W6812A
Pre-Award DBE/MWBE Trucking Commitment Information TA-W44134
Pre-Paid Plan Application Thruway Authority Commercial Charge Account Customer TA-W68167
Prime Contractor's Affidavit of Compliance New York State Labor Law, Section 220-a TA-W44115
Real Property Application TA-W4415
Report of Ambulance Service TA-W6837
Report of Assistance by Fire Department TA-W6839
Request To Access Authority Property TA-W4106
Request To Access Property - Wireless Carrier TA-W5122
Request for Copy of Police Accident Report TA-W4310
Exhibit A - Salary Schedule TA-W4012 Excel 
Schedule of Submittals TA-W4010
Special Hauling permit Survey For Overdimensional Vehicles TA-W6813
Statement of Account TA-W5214
Steel Haulers Overweight Permit Application TA-W68149
Subcontractor Affidavit TA-W44105
Submittal Transmittal TA-W4011
Supplemental Agreement Signature Sheet TA-W4108D
Supplemental Agreement Title Sheet TA-W4108A
Supplemental Insurance Certificate TA-W51343
Supplier Registration TA-W3254
Terms and Conditions of the Post-Paid Commercial Charge Account Program TA-W51312A
Terms and Conditions of the Pre-Paid Commercial Account Program TA-W68167A
Thruway Permit Application TA-W5124
Training Report TA-W1041
Uncompleted Work Agreement Form TA-W4431
Utilization Plan (Contractor) TA-W1022
Utilization Plan (Contractor) - Purchasing Services TA-W3239
Utilization Plan (Consultant) TA-W1060
Vehicle Reference Codes TA-W68162
Monthly Training Progress Report TA-W1046
Work force and Training Utilization Schedule TA-W1024
Request for Emergency Service Toll Reimbursement TA-W68181