Inventory of Online Forms
*The files below are in PDF 
format unless otherwise noted.
| 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-N4436A |
| 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 Thruway Logo Signs | TA-W4313 |
| Application for Traffic Camera Broadcast | TA-W6800 |
| Authorization of Extra Work | TA-W4404 |
| Bidder Request for Information | TA-W44137 |
| Bond (Standard Charge Account) | TA-W5181 |
| Bond (Toll Management Service Provider Charge Account) | TA-W5125 |
| 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 |
| Contractor EPD Material Reporting Form | TA-W1081  |
| Commercial Road Service Application/Permit | TA-W68159 |
| Conditions For Commercial Road Service Permit Medallion Placement | TA-W68159A |
| Federal-Aid Highway Construction Contractors Annual EEO Report | TA-W1064 |
| Consultant Application for an Extension of Completion Date | TA-W4445A |
| Exhibit E – Consultant's Cost Control Report | TA-W4453 |
| Consultant's Standard Agreement (Cost & Fixed Fee) Single Assignment [Example A] | TA-W5213A |
| Consultant's Standard Agreement (Cost & Fixed Fee) Multiple Assignments [Example B] | TA-W5213B |
| Consultant's Term Agreement (Multiplier) Multiple Assignments [Example C] | TA-W5213C |
| Consultant's Material Testing Agreement [Example D] | TA-W5213D |
| Consultant's Payment Request Transmittal | TA-W44128 |
| Consultant's Payroll Abstract | TA-W44127 |
| Contractor Request for Union Personnel | TA-W1018 |
| Contractor/Consultant Waiver Request | TA-W1077 |
| Contractor Waiver Request - Purchasing Services | TA-W3243 |
| Credit Agreement | TA-W51312 |
| Payments (Consultant) | TA-W1059 |
| Payments (Contractor) - Purchasing Services | TA-W3240 |
| DBE/MWBE Utilization Worksheet | TA-W1037 |
| DBE/MWBE Utilization Worksheet Amendment | TA-W1074 |
| 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 |
| Request For Emergency Services Toll Reimbursement | TA-W68181 |
| 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 |
| EO 162 Workforce Utilization Report | TA-W1017 |
| 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 |
| Ambulance Response | TA-W6837 |
| Fire Department Response | 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 |
| 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 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 |
| Workforce and Training Utilization Schedule | TA-W1024 |