APWU
FORM 1 - Employee Certification of Own Serious Illiness - FMLA
APWU
FORM 2 - Certification by Employee's Health Care Provider for Employee's
Serious Illiness - FMLA
APWU
FORM 3 - Health Care Provider Certification of Employee's Family Member
Illiness - FMLA
APWU
FORM 4 - Notice of Need for Intermittent Leave of for a Reduced Work Schedule
- FMLA
APWU
FORM 5 - Desired or Needed Absences for Birth or Placement of Son or Daughter
Under FMLA
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.
5.
your completion of APWU form #1 may serve as notice of an absence covered
by FMLA 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.
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
This site was created by Jack Ball.
Please address all comments and corrections
to him at apwuqcy@adams.net