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FMLA form needed
APWU FMLA Form 1 – Employee Certification of Own Serious Illness
APWU FMLA Form 2 – Certification By Employee’s Health Care Provider for Employee’s Serious Illness
APWU FMLA Form 3 – Health Care Provider Certification of Employee’s Family Member Illness
APWU FMLA Form 4 – Notice of Need For Intermittent Leave or for a Reduced Work Schedule
APWU FMLA Form 5 – Desired or Needed Absences for Birth or Placement of Son or Daughter
APWU FMLA Form 6 – USPS Verification of Veteran’s Treatment
APWU FMLA Form 7 – Management Request For Clarification of Medical Certification
F.M.L.A.
The Family and Medical Leave Act
The following is a ready reference for APWU members to use in applying their rights under the Family and Medial Leave Act (FMLA). You are advised to follow these procedures and insist that local management afford you all of your entitlements under the law.
EMPLOYEE'S OBLIGATION
1. Provide 30-day
advance notification when leave is foreseeable.
2. Notify as
soon as practicable when leave is not foreseeable.
3. Make
management aware that absence was or will be due to a serious health condition,
childbirth, newborn child care, placement in foster care or adoption.
Your notice must be within 1 or 2 business days of learning the need for leave,
but no later than 2 business days upon return to work. Notice must be
sufficient to make management aware that condition qualified as FMLA under the
Law. Notice that you are/were sick is not sufficient notice.
4. When
circumstances justifying FMLA have not been provided by you prior to the taking
of leave, ensure that management has sufficient information, during or within 2
days following the absence. Your designation of the leave as FMLA, while
not required, will satisfy your notice requirement pending further inquiry by
management and/or as your certification of a covered FMLA condition pending
management's written request for medical certification.
6. Complete
Form 3971 for payment of requested leave, limiting your response to
"request for leave only." Notice of FMLA absence should be made
verbally or on APWU Form #1, with your signature. If absence is for family member,
insert their name on APWU Form #1. When responding to request for medical
documentation, use appropriate APWU form, signed by health care provider.
7. Medical
documentation should be provided only upon written request from
management. Use APWU form and have physician respond to all relative
questions. If documentation contains a diagnosis or prognosis, you may
insist that its access should be limited to postal medical personnel.
8. Promptly
inform management of any changes to FMLA condition.
9. Prior to
return to duty, you may be required by written notice to present a certificate
from your health care provider that you are able to return to work.
(After your return, you may be required to submit to a fitness for duty.)
Your return to duty may not be delayed if you have provided prior notice of
your date of return.
10. If your absence is due to your chronic condition, which you have documented by submitting a completed APWU form (and you have not been referred to a USPS physician), intermittent or reduced schedule absences related to the condition are certified by your completion of the appropriate APWU form. No subsequent medical documentation is required prior to the next scheduled doctor's visit unless there is a change in your condition.
MANAGEMENT'S OBLIGATION
Post Form WH Publication 1420 or Form with same information in your facility where it will come to the attention of all employees, advising them of their rights under FMLA. The form must remain posted at all times.
Upon being made aware that your
absence is due to an FMLA condition (yours or a family member), management must
:
1. Notify you
of eligibility prior to the date leave starts. If your notice of leave is
less than 2 business days prior to start of leave, supervisor has 2 days from
your notice to determine and notify of eligibility.
2. Provide you
with a copy of USPS Publication 71.
3. Provide in
writing to you:
> Specific expectations and obligations of you, including request for
medical documentation and any consequences of a failure to meet these
obligations. A supervisor's notation (Medical documentation requested) on
Form 3971 will satisfy notice requiring documentation.
> That the leave will be counted against your 12-week entitlement.
(You may informed orally, but it must be confirmed in writing no later than the
following payday.) Supervisor's notation of FMLA on Form 3971 is
sufficient if completed form is returned to you.
> Inform whether or not management will require the substitution of paid
leave for the absence and any consequences for such substitution.
> Any requirement for you to make any premium payments to maintain health
benefits and the arrangement for making payments.
> Any requirement for you to present a fitness-for-duty certificate to be
restored to duty.
> Your right to restoration to the same or equivalent position.
4. If a
written request is made for medical documentation and you submit a complete
certification signed by the health care provider, management may not request
additional medical information. If there are further questions, a health
care provider representing USPS may contact your provider with your permission,
for purposes of clarification.
5. If management questions the adequacy of your medical certification even though you have submitted a complete certification, they are limited to referring you to a USPS designated physician for a second opinion. (No additional information may be required and your supervisor/manager may not contact your physician.)
You should follow all instructions from your supervisor and provide all information requested. If the provisions outlined above are violated you should contact your union representative and initiate an appeal using the APWU appeals process, requesting compensation for all losses and expenses incurred, including damages equal to your expenses and losses associated with the violation.
Family and Medical leave should not be abused. Absences that do not qualify under the law should be covered under the normal USPS leave policy.
Prepared by: William Burrus, Executive Vice President, American Postal Workers Union, AFL-CIO