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Forms:
**FMLA NOTICE** There is a national level dispute on the use of the APWU FMLA Forms. All members are advised to use the WH-380 forms from the Department Of Labor until the dispute is resolved.
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
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| 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 |
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