You will need to complete the following sections: Employee Statement (Pages 2 to 5) Authorization to Obtain and Release ... can be found below or on the first page of the claim packet. Below are the ...

People whose accounts were accessed without their authorization or who had fraudulent ... says that each claimant should only submit one claim form. If you have multiple accounts, you should ...

Pennsylvania Governor Josh Shapiro signed into law Senate Bill 1232, which amended the Pennsylvania Workers’ Compensation Act ...

Medical Expenses Claim Form (to be filled out by a doctor - not necessary if visiting Concordia Health Services) Pre-Authorization Request for Hospitalization/Surgery If you require additional ...