Forms and Information

WORKFIRST Authorization Forms 

• WORKFIRST Authorization Form  
   
• WORKFIRST Map w/Hours 
     
•  Company Change Request Form

WORKFIRST Respirator Forms 

• Respirator Medical Evaluation (OSHA) and Fit Testing Process Form  
       
• Respirator OSHA Employer Questionnaire Form ENGLISH  
   
• Respirator OSHA Employer/Employee Questionnaire Form SPANISH  
   
• Respirator OSHA Employee Demographic Form  
   
• Respirator OSHA Employee Questionnaire  

CASE Management 

• Employer WCCO Agreement  
   
• Case Management Options  

Drug Testing Reference 

• You've tested positive for drugs or alcohol. Now what? 
   
• What Employers Need to know about DOT Drug & Alcohol Testing 
      
•  DOT's Direct Observation Procedures

Other Forms

• WORKFIRST Travel Questionnaire for International Travelers    

Workers Comp:

• Notice: Medical Treatment for Work Injury
   
• WCCO Participating Providers - Adams County 
  WCCO Participating Providers -Adams County  (download and save to customize)
     
•  WCCO Participating Providers - York County 
  WCCO Participating Providers - York County (download and save to customize)

Adams County Information 

Forms & Information 

• Newly Opened--WORKFIRST ADAMSCO