Forms:
Family and Medical Leave Act
(FMLA) Forms
(Updated
02/28/08) These forms provide supporting documentation for leave
requests covered by the Family and Medical Leave Act (FMLA). The Postal
Service has stated that these forms are acceptable for use by managers
to approve or disapprove FMLA leave requests.
APWU FMLA Form #1 [pdf]
Employee Certification of Own Serious Illness
APWU FMLA Form #2 [pdf]
Certification by Employee's Health Care Provider for
Employee's Serious Illness
APWU FMLA Form #3 [pdf]
Health Care Provider Certification of Employee's Family
Member Illness
APWU FMLA Form #4 [pdf]
Notice of Need for Intermittent Leave or for a Reduced
Work Schedule
APWU FMLA Form #5 [pdf]
Desired or Needed Absence for Birth or placement of Son
or Daughter
APWU Grievance Forms
Step 1 Grievance Outline Worksheet
Step 2 Grievance Appeal Form
Step 3 Grievance Appeal Form
Appeal to Arbitration from Step 2 Form
Request for Information
These
forms have been designed so that you can type information directly into
the appropriate data fields and then print the forms on your computer's
printer. The forms' data entry fields may be selected by clicking with
a mouse in the appropriate field on the form. You can move between the
fields by pressing the tab button on the keyboard to move forward or
the shift + tab buttons to move backwards. When printing you should
make sure that "annotations" in the print dialog box is not checked. If
you have the full version of Adobe Acrobat, you can also save the form.
Choose File (on the Acrobat Toolbar) and Save As if you wish to save
the completed form.
Click on the red Square at the upper left corner of the
opened form to reset the form, i.e. clear data that has been entered.
Click
on the yellow question mark on the opened form to get instructions on
using the form. Click on the question mark or Window button (top left)
to close the help window.
OWCP Forms
| Form
Number |
OWCP's
Form Title / Description
|
|
|
| CA-1* |
Federal Notice of
Traumatic Injury and Claim for Continuation of Pay/Compensation |
| CA-2* |
Notice of Occupational
Disease and Claim for Compensation |
| CA-2a* |
Notice of Recurrence |
| CA-7* |
Claim for Compensation
Form CA-7 replaces ALL prior
versions of CA-7 & CA-8 (see FECA Bulletin No. 99-18) |
| CA-7a* |
Time Analysis Form,
used for claiming compensation, including repurchase of paid leave |
| CA-7b |
Leave Buy Back (LBB)
Worksheet/Certification and Election |
| CA-10 |
What A Federal
Employee Should Do When Injured At Work |
| CA-12* |
Claim For Continuance
of Compensation Under the Federal Employees' Compensation Act |
| CA-17* |
Duty Status Report |
| CA-20** |
Attending Physician's
Report |
| CA-35 |
Evidence Required in
Support of a Claim for Occupational Disease |
| OWCP-5a** |
Work Capacity
Evaluation Psychiatric/Psychological Conditions |
| OWCP-5b** |
Work Capacity
Evaluation Cardiovascular/Pulmonary Conditions |
| OWCP-5c** |
Work Capacity
Evaluation for Musculoskeletal Conditions |
| OWCP-915* |
Claim For Medical
Reimbursement
Form OWCP-915 replaces
CA-915 |
| OWCP-957* |
Medical Travel Refund
Request |
|