Online Forms Inventory
Search Online Form Inventory
Listed below are a collection of downloadable forms, for various purposes within the Authority.
| Form Name | Form Title | Download |
|---|---|---|
|
Affidavit of Payment to Subcontractors and/or Materialmen |
TA-W44118 |
|
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Ambulance Response |
TA-W6837 |
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Americans With Disabilities Act Complaint |
TA-W1003 |
|
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Application for Extension of Date of Completion of Contract |
TA-N4436A |
|
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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 |
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Application for Thruway Logo Signs |
TA-W4313 |
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Application for Traffic Camera Broadcast |
TA-W6800 |
|
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Authorization of Extra Work |
TA-W4404 |
|
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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 |
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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 |
|
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Commercial Charge Account Information Update Request Form |
TA-W5111 |
|
|
Commercial Road Service Application/Permit |
TA-W68159 |
|
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Conditions For Commercial Road Service Permit Medallion Placement |
TA-W68159A |
|
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Consultant Application for an Extension of Completion Date |
TA-W4445A |
|
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Consultant's Material Testing Agreement [Example D] |
TA-W5213D |
|
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Consultant's Payment Request Transmittal |
TA-W44128 |
|
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Consultant's Payroll Abstract |
TA-W44127 |
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Consultant's Standard Agreement (Cost & Fixed Fee) Multiple Assignments [Example B] |
TA-W5213B |
|
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Consultant's Standard Agreement (Cost & Fixed Fee) Single Assignment [Example A] |
TA-W5213A |
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Consultant's Term Agreement (Multiplier) Multiple Assignments [Example C] |
TA-W5213C |
|
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Contractor EPD Material Reporting Form |
TA-W1081 |
|
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Contractor/Consultant Waiver Request |
TA-W1077 |
|
|
Credit Agreement |
TA-W51312 |
|
|
DBE/MWBE Utilization Worksheet |
TA-W1037 |
|
|
DBE/MWBE Utilization Worksheet Amendment |
TA-W1074 |
|
|
DBE/MWBE/SDVOB Solicitation Log |
TA-W1055 |
|
|
Disclosure of Prior Non-Responsibility Determinations (NYS Finance Law Sections 139-j and 139-k) |
TA-W3053 |
|
|
E-ZPass Application for Disabled Veteran Non-Revenue Plan |
TA-W5175 |
|
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E-ZPass Application for Disabled Veteran Revenue Plan |
TA-W5080 |
|
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E-ZPass Tag Order - Commercial Charge Account Customer |
TA-W68161 |
|
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E-ZPass Tag Order Form Motorhome/Passenger Vehicle Towing Combinations |
TA-W68176 |
|
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Electronic Payment Authorization form |
TA-W5201 |
|
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Electronic Trip Register (E-Trips) Enrollment |
TA-W5135 |
|
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Employment Application |
TA-W3199 |
|
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EO 162 Workforce Utilization Report |
TA-W1017 |
|
|
Estimated Surety Worksheet |
TA-W5105 |
|
|
Exhibit A - Salary Schedule |
TA-W4012 |
|
|
Exhibit E – Consultant's Cost Control Report |
TA-W4453 |
|
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Explanation Worksheet for Order on Contracts and Supplemental Agreements |
TA-W4108B |
|
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Federal-Aid Highway Construction Contractors Annual EEO Report |
TA-W1064 |
|
|
Fire Department Response |
TA-W6839 |
|
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Inspector’s Daily Bridge Painting Report |
TA-W44110 |
|
|
LCV/Tandem Maintenance Vehicle Application/Permit |
TA-W6812 |
|
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LCV/Tandem Equipment Application/Certification - Tractor |
TA-W6808 |
|
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LCV/Tandem Equipment Application/Certification - Converter Dolly |
TA-W6811 |
|
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LCV/Tandem Equipment Application/Certification - Lead Trailer |
TA-W6809 |
|
|
LCV/Tandem Operations Application/Permit |
TA-W6807 |
|
|
Occupancy Permit Application Supplement |
TA-W5123 |
|
|
Overweight Bulk Milk Haulers Permit |
TA-W68134 |
|
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Payments (Consultant) |
TA-W1059 |
|
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Payments (Contractor) |
TA-W1023 |
|
|
Placement Guide for LCV/Tandem Maintenance Vehicle Medallion |
TA-W6812A |
|
|
Pre-Award DBE/MWBE Trucking Commitment Information |
TA-W44134 |
|
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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 |
|
|
Request for Copy of Police Accident Report |
TA-W4310 |
|
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Request For Emergency Services Toll Reimbursement |
TA-W68181 |
|
|
Request To Access Authority Property |
TA-W4106 |
|
|
Request To Access Property - Wireless Carrier |
TA-W5122 |
|
|
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 |
|
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Supplier Registration |
TA-W3254 |
|
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Terms and Conditions of the Post-Paid Commercial Charge Account Program |
TA-W51312A |
|
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Terms and Conditions of the Pre-Paid Commercial Account Program |
TA-W68167A |
|
|
Thruway Permit Application |
TA-W5124 |
|
|
Uncompleted Work Agreement Form |
TA-W4431 |
|
|
Utilization Plan (Consultant) |
TA-W1060 |
|
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Utilization Plan (Contractor) |
TA-W1022 |
|
|
Vehicle Damage Claim Form |
TA-W1552 |
|
|
Vehicle Reference Codes |
TA-W68162 |