Get Pa Third Party Agency (tra) Registration Application - City Of Pittsburgh 2007-2025

This guide provides a comprehensive overview of filling out the PA Third Party Agency Registration Application online for the City of Pittsburgh. Designed for ease of use, it offers detailed, step-by-step instructions tailored to assist all users, regardless of their legal experience.

Follow the steps to complete your registration application online.

1. Press the ‘Get Form’ button to obtain the registration application, ensuring you have the correct document to proceed with your submission.
2. Begin by filling in the Third Party Plan Review Agency Information section. Include the applicant’s name, L & I agency number, expiration date, mailing address, city, state, zip code, phone number, fax number, contact person’s position, and email address.
3. List the names and signatures of employees performing UCC plan review services. For each employee, include their printed name and UCC certification number. Make sure to attach additional pages if necessary to provide a complete listing.
4. Provide the Errors and Omissions Insurance information. Include the insurance carrier, policy number, effective date, and expiration date. Ensure to attach proof of professional errors and omissions liability insurance of at least $1,000,000.00, with the City of Pittsburgh declared as the certificate holder.
5. Complete the Statement of Truth section. Certify that all information is accurate and that your agency will comply with the procedures outlined for Third Party Plan Review Agencies. Include the date and have a notary public witness your signature.
6. Finally, verify all entries for accuracy, and save your changes. After ensuring all required information has been filled out correctly, download, print, or share the completed application as needed.

Complete your PA Third Party Agency Registration Application online today for a seamless submission process.