APWU
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

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ABOUT THE INDUSTRIAL RELATIONS DEPARTMENT

Greg Bell, Director
Phone: 202-842-4273
Fax: 202-371-0992

The Industrial Relations Department is charged with responsibility for labor management, national negotiations, mechanization, safety and health for all divisions of the union, and the administration of the collective bargaining agreement…

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