FORMS & DOWNLOADS 

  



     FMLA FORMS
Department of Labor Forms
     WH-380-E   Employee's own illness or condition 
     WH-380-F   Employee's own illness or condition 
     WH-385-V   Veteran's Illness & caregiver leave
    
  APWU FMLA Forms
     APWU-1   Employee's own Illness or condition  
     APWU-2   Family member's illness or condition 
     APWU-3   Exigency for Military Family 
     APWU-4   Caregiver Military Family Leave 
    View sample completed forms
 
     GRIEVANCE FORMS
Supervisor / Postmaster Doing Clerk Work - Art 1.6 violation
      Dailly (one time) Witness Statement
     Weekly (repeated violation Witness Statement
 
City or Rural Carriers Doing Clerk Work - Art 1.6 violation
      Daily (one time) Witness Statement
      Weekly (repeated violations) Witness Statement
 
Lunch / Break Violations - Article 19 / 30 Violations
      Lunch Not Offered Within Six (6) Hours
      No Lunch Within Six (6) Hours - LV P&DC PSEs Only
      No Breaks or Breaks Stacked at End of Tour - LV P&DC PSEs Only
 
     OTHER APWU FORMS
    Report of Security Problem Or Poor Financial Practice
     LV P&DC Light Duty Request Info / Form  (LV Plant Only)
 
 
 
 
 
 

 
     OWCP FORMS
OWCP Claims must be filed using the E.comp online claims filing system.  The forms below are provided as reference materials and can assist you in preparing for the questions Ecomp may ask.
    CA-10  What To Do When Injured At Work - Flyer
    CA-1    Notice of Traumatic Injury
    CA-2    Notice of Occupational Disease
    CA-2a   Notice of Recurrence
    CA-7    Request for Compensation
    CA-7a  Time Analysis Form
    CA-7b  Leave Buy-Back
    CA-17  Duty Status Report
    CA-20  Attending Physicians Report
    CA-915 Claim for Medical Reimbursement
    CA-957 Medical Travel Refund Request
OTHER USEFUL INFORMATION
    CA-35  Evidence Required to Support Occupational Disease
    1199A    Direct Deposit Sign-Up form
 
     USPS - PS FORMS
    PS Form 1767 -  Report of Hazard or Unsafe Act  (form fill)
    PS Form 3971 -  Request for or Notification of Absence (form fill)
    PS Form 3077 -  Request to Forward Paycheck
    PS Form 3970-R  Request for Donated Leave (Leave Sharing)
    PS Form 3970-D  Request to Donate Leave (Leave Sharing)
    PS Form 1221 -   Advance Sick Leave Request     (Instructions)
 
     OPM FORMS
Beneficiary Forms
   SF 1152 - "Last Paycheck" Unpaid Wages
   SF 2823 - FEGLI Life Insurance
   SF 3102 - FERS Pension Lump Sum
   SF 2809 - Health Plan Enrollment Form
     (TSP Beneficiary Desiognations are done on the TSP website)