Get Application Request To Provide - Pennsylvania Department ...

This guide provides a clear and comprehensive overview of how to complete the application request to provide coffee breaks at a safety rest area in Pennsylvania. It is designed for users of all experience levels, ensuring that you have the necessary information to successfully submit your application online.

Follow the steps to fill out the application request with ease.

1. Click ‘Get Form’ button to obtain the application request form and open it in your preferred document editor.
2. Begin by filling in the location details, including the county where the coffee break will be held. Specify the interstate and indicate the direction (northbound, southbound, eastbound, or westbound).
3. In the holiday section, circle the appropriate holidays (Memorial Day, Independence Day, Labor Day, or Thanksgiving) when you plan to provide coffee breaks. Be sure to include specific dates and times for each holiday in the provided spaces.
4. Provide the name of your non-profit organization, followed by the complete address, including city, state, and zip code.
5. Enter the contact person's name and telephone number. This information is essential for follow-up communications.
6. Review the agreement stating your organization will comply with the governing requirements. Ensure to sign where indicated, include the officer's title, and date your signature.
7. Once all fields are filled, carefully review your application for accuracy and completeness. Make any necessary revisions.
8. Save changes to your completed application. From here, you can download, print, or share the document as needed before submitting it to the appropriate District Office.

Complete your application request online today to ensure a smooth and successful submission.