Register Your Company/Legal Entity with PENNVEST
Registration applies to a Municipality, Authority, Company or other Organization Section.
To request that your company/legal entity be added to the Application Selection List for the PENNVEST Online Funding website, please provide the fill out the form below. Once you have completed the form, click on the register button.

Please note, it may take 2-3 business days for your legal entity account to be established. You will receive an e-mail with instructions from PENNVEST when the account has been established.
     Your Contact Information
     (Information needed to contact you once the account has been established)
First Name:
 
Last Name:
 
Your Email Address:
  
Your Business Phone Number:
( ) - ext.
      
     The Company/Legal Entity You Wish to Register
Legal Name of Company/Entity:
The LEGAL NAME is the name that appears on the Articles of Incorporation or other official organization documents. If the legal name is not known, leave blank and answer the next question
Temporary Name of Company/Entity:
If the legal name is unknown, provide a temporary entity name until a legal name is established
Federal Tax Identification Number:  
If the federal tax id number is not known, leave the answer blank. If provided, this should be a 10-digit number; for example 12-23456789. If you are registering as an individual entity, you may use your social security number; for example 999-99-9999.
Company/Entity County:
County name where the company/entity is located.
Company/Entity Fiscal Year End:
Format as month and day; for example, 12/31
Lastest Year of Incorporation:  
Required only for municipal authorities
Are you Public Utilities Commission(PUC) Regulated?
     The Primary Contact for the Company/Legal Entity
First Name of the Contact:
 
Last Name of the Contact:
 
Contact Email:
  
Contact Phone Number:
( ) - ext.
      
Contact Fax Number:
( ) -
   
Address1
 
Address2
   
City
 
Zip
-
  
 
Once you click the Register button, it will take approximately 2-3 business days to process your request.
If you experience any problems using or submitting this form or have questions regarding the registration process, contact Bev Reinhold at breinhold@state.pa.us or (717) 783-6589
 
www.pennvest.state.pa.us | 1-877-787-8137 | privacy & security policy