Office of Administration

State of Pennsylvania

Official Website: https://www.oa.pa.gov/Pages/default.aspx

Forms & Documents

Browse all Office of Administration government forms

All 19 forms

Form Title Topics
Change of Claim Status Form
Checklist for Injury Leave
Incident Investigation Form
Incident Statement Form
KeyScripts Temporary Card
Managed Care Card
Medical Coverage Election Form
Notice to Employees Work-Related Injury Leave Information
Paid Injury Leave Supplement (PILS) Form
Panel of Providers Issue/Change Form
Program Issue Form
Return to Work Reporting Form
Return to Work Status Report
Rights & Duties Form
Vocational Rehabilitation Approval Form
Workers' Compensation Claim Form JPA-797
Workers' Compensation Information Form
Workers' Compensation Program Approval Form
Work-Related Injury Leave Election Form

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