Westmoreland Community Action
724-834-1260
800-816-0022
226 South Maple Avenue Greensburg, PA 15601

Agency Forms List

These forms are used on a regular basis internally to conduct the day to day business of the agency.


90 Day Performance Evaluation

Accident Report

Authorization for Expenses

Building Maintenance Request

Coversheet for Commissioners

Employee Separation Checklist

Fax Cover Sheet

In House Application

Parent Training Request

Performance Evaluation

Personal Leave of Absense

Personal Update

Petty Cash Form

Purchase Order Request

Request for Carryover

Request for Computer Equipment/Assistance

Request for Network Authentication

Request for Payment

Request for Web Site Update

Safety Inspection Checklist

Supervisors Accident Investigation Report

Training Request

Transfer of Property

Travel Expense Voucher


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