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New York State Thruway Authority
Inventory of Online Forms
Note: All forms are in PDF format unless noted otherwise.

Thruway Authority Inventory of Online Forms
Form Name
Form Title
Affidavit of Payment to Subcontractors TA-W44118-9
Application for Disabled Veteran E-ZPass Revenue Plan TA-W5080
Application for Extension of Date of Completion of Contract TA-W4436-9
Application for Special Permit to Operate LCV/Tandem Vehicle TA-W6818
Application for Traffic Camera Broadcast TA-W6800
Bond Form TA-W5181
Cash Surety Deposit Form TA-W5106
Certificate of Compliance with the Authority/Corporation Guidelines Regarding Permissible Contacts During a Procurement and The Prohibition of Inappropriate Lobbying Influence TA-W2111-9
Certificate of LCV/Tandem Equipment (Tractor) TA-W6808
Certification of LCV/Tandem Equipment (Dolly Converters) TA-W6811
Certification of LCV/Tandem Equipment (First or Lead Trailer) TA-W6809
Certification of LCV/Tandem Equipment (LCV/Tandem Maintenance Vehicles) TA-W6812
Commercial Account Vehicle Update Form TA-W63227
Commercial Charge Account Information Update Request Form TA-W5111
Commercial Road Service Application/Permit TA-W68159
Compliance Unit/Office of Contracts and Construction Management TA-W1065-9
Conditions For Commercial Road Service Permit Medallion Placement TA-W68159A
Construction Contractor Annual EEO Report TA-W1064-9
(Excel Excel Form)
Consultant Application for an Extension of Completion Date TA-W4445-9
Consultant's Cost Control Report TA-W4453-9
(Excel Excel Form)
Consultant's Monthly Estimate for Payment - A TA-W5213-9A
(Excel Excel Form)
Consultant's Monthly Estimate for Payment - B TA-W5213-9B
(Excel Excel Form)
Consultant's Monthly Estimate for Payment - C TA-W5213-9C
(Excel Excel Form)
Consultant's Monthly Estimate for Payment - D TA-W5213-9D
(Excel Excel Form)
Consultant's Payment Request Transmittal TA-W44128-9
Consultant's Payroll Abstract TA-W44127-9
Contract Final Acceptance TA-W4437-9
Contractor Request for Union Personnel TA-W1018-9
Cost Analysis TA-W44106-9
Credit Agreement TA-W51312
D/M/WBE Payments for Engineering Subcontracting Firms TA-W1059-9
(Excel Excel Form)
D/M/WBE Utilization Worksheet TA-W1037
(Excel Excel Form)
D/M/WBE Utilization Worksheet Amendment TA-W1074
(Excel Excel Form)
Disabled Veteran Non-Revenue E-Zpass Application TA-W5175
Disadvantaged/Minority/Women's Business Enterprise Program Report TA-W1023-9
(Excel Excel Form)
Disclosure of Prior Non-Responsibility Determinations TA-W3053-9
Employment Application/Personal Information Record TA-W3199-9
Equal Employment Opportunity Officer Identification TA-W1019-9
Estimated Surety Worksheet TA-W5105
Explanation Worksheet for Order on Contracts and Supplemental Agreements TA-W4108B-9
E-ZPass Tag Order Form Motorhome/Passenger Vehicle Towing Combinations TA-W68176
E-Zpass Tag Order Form-Commercial Charge Account Customer TA-W68161
Inspector's Daily Report Bridge Painting TA-W44110-9
Monthly Employment Utilization TA-W1017-9
(Excel Excel Form)
Occupancy Permit Application TA-W41337
Overweight Bulk Milk Haulers Permit TA-W68134
Permit for LCV/Tandem Operations TA-W6807
Post Construction Report TA-W44121-9
Pre-Award D/M/WBE 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-W44115-9
Report of Ambulance Service TA-W6837
Report of Assistance by Fire Department TA-W6839
Request for Copy of Police Accident Report TA-W4310
Request to Replace Defective Commercial E-ZPass Tag(s) TA-W63226
Salary Schedule TA-W4012-9
(Excel Excel Form)
Schedule of Submittals TA-W4010-9
Sealed Container Permit TA-W68173
Special Hauling permit Survey For Overdimensional Vehicles TA-W6813
Statement of Account TA-W5214
Steel Haulers Overweight Permit Application TA-W68149
Subcontractor Affidavit TA-W44105-9
Submittal Transmittal TA-W4011-9
Supplemental Agreement Signature Sheet TA-W4108D-9
Supplemental Agreement Title Sheet TA-W4108A-9
Supplemental Insurance Certificate TA-W51343-9
Supplier Registration Form TA-W3254-9
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
Training Report TA-W1041-9
Uncompleted Work Agreement Form TA-W4431-9
Utilization Plan for All Subcontractors TA-W1022-9
Utilization Plan for Prime Consultants TA-W1060-9
Vehicle Reference Codes TA-W68162
Vehicles Requiring Special Tag Mounting TA-W63221
Vendor Responsibility Questionnaire TA-W3205-9
Weekly Training Progress Report TA-W1046-9
(Excel Excel Form)
Work force and Training Utilization Schedule TA-W1024-9
Work Permit Application TA-W41338

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