FORMS & DOWNLOADS 

      

FMLA FORMS   WITNESS STATEMENT FORMS
Dept of Labor Forms   Supervisor or posmaster Doing Clerk Work - Article 1.6 violation

WH-380-E   Employee's own illness or condition

    Dailly Witness Statement

WH-380-F   Family member's illness or condition

Weekly Witness Statement
APWU Forms    
APWU-1  Employee's Own illness    [Print]   [Complete & Print] Other Crafts Doing Clerk Work - Article 7.2 violation
APWU-2 Family Member's Illness    [Print]   [Complete & Print]         Daily (one time) Witness Statement
APWU-3  Exigency for Military Family    [Print]   [Complete & Print   Weekly (repeated violations) Witness Statement
APWU-4  Service Member's Caregiver    [Print]   [Complete & Print]    
 (to see a list of completed sample forms - go to our FMLA page)    Lunch / Break Violations - Article 19 / 20 Violations
      No Lunch Offered Within Six (6) Hours
OWCP FORMS     No Lunch Within Six (6) Hours - LV P&DC PSEs Only
CA-2    Notice of Occupational Disease

 

No Breaks or Breaks Stacked at End of Tour - LV P&DC PSEs Only
CA-2a   Notice of Recurrence  

 

 
CA-7    Request for Compensation DBCS Staffing "Running Alone" Violation - Article 37 Violation
CA-7a  Time Analysis Form
CA-7b  Leave Buy-Back    
CA-17  Duty Status Report   WINDOW SECURITY / SAFETY FORMS
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 an Occupational Disease    
1199A    Direct Deposit form