Handbooks, Forms, and Manuals

Revised FMLA Forms – “Fillable”

The APWU FMLA Forms are once again available for employees to use when submitting medical certification for leave under the Family & Medical Leave Act (FMLA). In accordance with an April 18, 2012, award by Arbitrator Shyam Das, the Postal Service cannot require employees to use the Department of Labor’s WH-380 forms. Arbitrator Das recognized that the DOL Forms are optional forms. The USPS must accept an employee’s medical certification in any format – provided it contains all of the information required under the law.
› APWU FMLA Form 1 – Certification by a Health Care Provider for the Employee’s Own Serious Illness
› APWU FMLA Form 2 – Certification by a Health Care Provider for a Family Member’s serious Illness
› APWU FMLA Form 3 – Certification by Employee of Qualifying Exigency for Military Family Leave
› APWU FMLA Form 4 – Certification by a Service Member’s Health Care Provider for Caregiver Military Family Leave

Sample FMLA Forms

› Sample Form for Employee’s Absence Plus Treatment
› Sample Form for Child with Chronic Condition
› Sample Form for Chronic Condition
› Sample Form for Hospital Stay
› Sample Form for Long Term-Terminal Illness
› Sample Form for Multiple Treatments
› Sample Form for Pregnancy

     Although the APWU forms may look different than the DOL forms, the APWU forms reflect the same basic FMLA medical certification requirements so as to permit healthcare providers to furnish appropriate medical information in accordance with the law.  The APWU forms are more streamlined, easier for healthcare providers to use, and protect against inappropriate disclosure of protected health information. For these reasons, the APWU encourages union members to use FMLA medical certification forms developed by the APWU.  Please keep in mind that, regardless of what format an employee uses for FMLA medical certification, if a medical certification is incomplete or insufficient, the Postal Service is required to explain to the employee in writing what specific, additional information is necessary to make the certification complete and sufficient and give the employee an opportunity to cure the defects.

〉 Instructions for Witnesses in Arbitration

Doctors certification form

This is a Union approved form for your doctor to fill out when you are out from work due to any of the reasons indicated on the  form.  Click Here for the download

Injured at work forms

  • CA 1 pdf – Federal Employee’s Notice of Traumatic Injury Claim for Continuation of Pay/Compensation
  • CA 2 pdf – Notice of Occupational Disease and Claim for Compensation
  • CA 2a pdf – Notice of Employee’s Recurrence of Disability and Claim for Pay/Compensation
  • CA 3 pdf – Termination of Disability or Payment
  • CA 7 pdf – Claim for Injured on Duty Compensation
  • CA 7a pdf – Time Analysis Form
  • CA 7b pdf – Leave Buy-Back Worksheet/Certification Form
  • CA 10 pdf – What a Federal Employee Should Do When Injured at Work
  • CA 11 pdf – When Injured at Work Information
  • CA 12 pdf – Claim for Continuance of Compensation
  • CA-14 pdf – OWCP process for notifying claimants of their entitlements and claim number
  • CA 17 pdf – Duty Status Report
  • CA 20 pdf – Attending Physician’s Report
  • CA  35 pdf – Evidence Required in Support of a Claim for Occupational Disease
  • CA 278 pdf – CLAIM FOR REIMBURSEMENT OF BENEFIT PAYMENTS AND CLAIMS EXPENSE UNDER THE WAR HAZARDS COMPENSATION ACT
  • CA 699 pdf Page 1-  Percentage Table of Schedule Awards
  • CA 699 pdf Page 2– Percentage Table of Schedule Awards
  • CA 721 pdf – Notice of Law Enforcement Officer’s injury or Occupational Disease
  • CA-810 – A handbook for Federal agency personnel specialists, compensation specialists, and supervisors prepared by OWCP, ESA and DOL for dealing with injured employees.
  • CA 1031 pdf – help us reach a decision regarding a claim for compensation
  • CA 1074 pdf – Additional information is needed in support of your claim for dependency compensation
  • CA 1108 pdf – LONG FORM STATEMENT OF RECOVERY
  • CA 1122 pdf – Short Form Statement of Recovery
  • CA 2231 pdf – Claim For Reimbursement Assisted Reemployment
  • OWCP – 5A – Work Capacity Evaluation Psychiatric/Psychological Conditions
  • OWCP – 5B – Work Capacity Evaluation Musculoskeletal Conditions
  • OWCP – 5C – Work Capacity Evaluation Musculoskeletal Conditions
  • OWCP – 17 – Rehabilitation Maintenance Certificate
  • OWCP – 915 – Claim for Medical Reimbursement
  • OWCP – 957 – Mileage Reimbursement
  • OWCP – 1168 – Provider Enrollment Form
  • Fit For Duty pdf – Management Instructions – Provides information about the levels of fitness-for-duty examinations and their application by Postal Service and consultative medical personnel
  • Workers Comp pdf – Relationship Between Retirement Annuity and Compensation for Work-Related Injuries and Diseases – An employee who is disabled or injured in the line of duty may be eligible for workers’ compensation benefits from the Department of Labor and how the employee’s entitlement to workers’ compensation benefits affects present and future retirement and survivor annuity rights under CSRS and FERS

Some of the important EL guides

  • EL 307 pdf – Guidelines on Reasonable Accommodations
  • EL 304 pdf – Maintenance Selection System Handbook
  • EL 312 pdf – Employment and Placement
  • EL 401 pdf – Supervisor’s Guide to Scheduling and Premium Pay
  • EL 340 – Reconstructing an Official Personnel Folder
  • EL 430 – Back Pay
  • EL 502 – CSRS Retirement Guide
  • EL 505 pdf – Injury Compensation Procedures
  • EL 710 – Approving and requesting funds for training
  • EL 801 pdf – Supervisor’s Safety Handbook
  • EL 804 pdf – Safe Driver Program
  • EL 809 – Area/Local Joint Labor-Management Safety and Health Committee Training
  • EL 810 – OSHA Programs
  • EL 814 pdf – Postal-Employees-Guide-to-Safety
  • EL 830 – Control of Asbestos Exposure from Brake and Clutch Repair
  • EL 860 pdf – Employee Medical Records
  • EL 921 – SUPERVISORS GUIDE TO HANDLING GRIEVANCES in MSWORD format

Miscellaneous forms of All Crafts

Caution on the Use of USPS Publications
Note: Check for the latest issue. The Postal Service updates its various manuals and handbooks according to different schedules. (For instance, the ELM has been revised several times during the past couple of years.) To see if you have the current edition of a particular publication, obtain the latest Publication 223, Directives and Forms Catalog, from the USPS Web site.

 CraftsSteward Training Manuals

Grievance Forms

Grievance Statement form to turn into steward- pdf

Handbooks / Manuals & INFO