Appendix B - OAG Medical Forms.pdf

This file is an appendix containing medical forms for the Pennsylvania Office of Attorney General (PAOAG) in support of a physical examination contract. The appendix provides the standardized medical evaluation forms that contractors must use to conduct pre-employment and annual physical examinations for PAOAG Agent applicants and employees. These forms are designed to assess whether candidates can perform the essential job functions required for the Agent position. The contract period runs from December 20, 2026, through December 19, 2027, with four optional one-year renewal periods available. The RFX number is 6100066981, and all inquiries should be directed to Erin Webster at ewebster@attorneygeneral.gov.

All quantities specified in the contract are estimates, and the PAOAG will only reimburse for actual services rendered. A miscellaneous line item will be added post-award to cover any additional testing needed to confirm an applicant or employee's ability to perform essential job functions. Billing must proceed through the purchase order system, and contractors and subcontractors are explicitly prohibited from billing applicants or employees directly for any testing services provided under this contract.