Online Forms Inventory

Online Forms Inventory

Online Forms Inventory

Search Online Form Inventory

Listed below are a collection of downloadable forms, for various purposes within the Authority. 

Online Forms Inventory

Affidavit of Payment to Subcontractors and/or Materialmen

TA-W44118

Ambulance Response

TA-W6837

Americans With Disabilities Act Complaint

TA-W1003

Application for Extension of Date of Completion of Contract (ESign)

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

Commercial Road Service Application/Permit

TA-W68159

Conditions For Commercial Road Service Permit Medallion Placement

TA-W68159A

Consultant Application for an Extension of Completion Date

TA-W4445A

Consultant's Material Testing Agreement [Example D]

TA-W5213D

Consultant's Payment Request Transmittal

TA-W44128

Consultant's Payroll Abstract

TA-W44127

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

Contractor EPD Material Reporting Form

TA-W1081

Contractor/Consultant Waiver Request

TA-W1077

Credit Agreement

TA-W51312

DBE/MWBE Utilization Worksheet

TA-W1037

DBE/MWBE Utilization Worksheet Amendment

TA-W1074

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

E-ZPass Application for Disabled Veteran Revenue Plan

TA-W5080

E-ZPass Tag Order - Commercial Charge Account Customer

TA-W68161

E-ZPass Tag Order Form Motorhome/Passenger Vehicle Towing Combinations

TA-W68176

Electronic Payment Authorization form

TA-W5201

Electronic Trip Register (E-Trips) Enrollment

TA-W5135

Employment Application

TA-W3199

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

Explanation Worksheet for Order on Contracts and Supplemental Agreements

TA-W4108B

Federal-Aid Highway Construction Contractors Annual EEO Report

TA-W1064

Fire Department Response

TA-W6839

Inspector’s Daily Bridge Painting Report

TA-W44110

LCV/Tandem Maintenance Vehicle Application/Permit

TA-W6812

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 Operations Application/Permit

TA-W6807

Occupancy Permit Application Supplement

TA-W5123

Overweight Bulk Milk Haulers Permit

TA-W68134

Payments (Consultant)

TA-W1059

Payments (Contractor)

TA-W1023

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

Request for Copy of Police Accident Report

TA-W4310

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

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

Uncompleted Work Agreement Form

TA-W4431

Utilization Plan (Consultant)

TA-W1060

Utilization Plan (Contractor)

TA-W1022

Vehicle Damage Claim Form

TA-W1552

Vehicle Reference Codes

TA-W68162