Community College of Allegheny County (CCAC)

Community College of Allegheny County

Workers Compensation Forms

Medical Authorization (PDF) (PDF- Spanish)

Employee's Acknowledgment (PDF)

Occupational Injury Report (PDF)

Provider Panel – Allegheny (PDF)

Provider Panel – Boyce (PDF)

Provider Panel – North (PDF)

Provider Panel – South (PDF)

Provider Panel – Office of College Services (PDF)