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FMLA Forms – NALC Version

The link below is a PDF from the 2024 NALC National Convention concerning FMLA.

FMLA 2024-Insights & Guidance for Letter Carriers

Below are links to the NALC versions of  FMLA forms.  These forms ARE APPROVED FOR USE and are generally easier to navigate than the Department of Labor versions.  To get a printable copy of a form click on the appropriate link below.

 

NALC Form 1: Medical Certification-Employee’s Own Serious Health Condition

NALC Form 2: Medical Certification-Family Member’s Serious Health Condition

NALC Form 3: Certification of Qualifying Exigency for Military Family Leave

NALC Form 4: Certification for Serious Injury or Illness of Current Covered Service member for Military Caregiver Leave

NALC Form 5: Certification for Serious Injury or Illness of a Veteran for Military Caregiver Leave

NALC Form 6: Employee’s Notification of New Child in the Family

FMLA Administration Human Resources Share Service Center (HRSSC) – Contact Information by Postal Service Area

LINK TO FREQUENTLY ASKED QUESTIONS:

https://www.dol.gov/agencies/whd/fmla/faq

1 Stewards' Storehouse

  • Stewards' Storehouse

2 Branch Info

  • Analyzing the Employee Everything Report
  • Attendance Award (Union Meetings)
  • Branch 40 2026 Meeting Schedule
  • Branch 40 Golf Outing
  • Branch 40 Mail Bag
  • CCA Resource Center
  • City Wide Bidding
  • Constitution and Bylaws
  • DHS – Active Shooter Handbook
  • ECOMP Power Point
  • Fixed Office Time – Exhibit 121.12
  • Grievance Form PS-8190
  • Hatch Act Update for Social Media 02/2018
  • I Just Got Injured On The Job…CLICK HERE
  • Latest News
  • LMOU – All Offices
  • Minutes of Most Recent General Meeting
  • Next Branch Meeting
  • Next Stewards Meeting
  • Officers and Stewards of the Branch
  • Offices/Stations in Branch 40
  • Pay Stub Explanation
  • Paychart (Current)
  • PS Form 3996
  • PS-Form-8043Amend-eOPF
  • Seniority List updated 05/18/2026
  • Update Your Info and Mailing Address
  • Weingarten Rights

3 Links

  • 01 – NALC National Webpage
  • 02 – Office of Worker's Compensation
  • 03 – FMLA – NALC Forms
  • 04 – FMLA – Dept. of Labor
  • 05 – FMLA Employee Guide
  • 06 – Defenses to Discipline – 2014
  • 07 – Defenses to Discipline – 2012
  • 08 – JCAM – 2025
  • 09 – M-39
  • 10 – M-39 Revisions Book
  • 11 – M-41
  • 12 – M-41 Updates
  • 13 – NALC Contract Administration
  • 14 – Manuals
  • 15 – Lite Blue
  • 16 – Office of Personnel Management
  • 17 – Stewards Guide
  • 18 – USPS
  • 19 – Links to Other NALC Branches
  • 20 – MRS – Materials Reference System
  • 21 – National Agreement 2023 – 2026
  • 22 – National Postal Museum
  • 23 – NALC Member App Information
  • 24 – Online Retirement Application (ORA)
  • 25 – Veterans Affairs

4 Legislation

  • 1 – Voter Registration
  • 2 – Vote By Mail Ballot Request (On line)
  • 3 – Ohio Senators and Representatives
  • 4 – Legislative Updates That Affect Letter Carriers
  • 5 – NALC Legislative Action Center

5 Retirement

  • Keeping Posted for Retired USPS Employees
  • NALC – Retirement
  • OPM – Retirement
  • Thrift Savings

Human Resources

1-877-477-3273

Employee Assistance Program (EAP)

1-800-327-4968

Shared Services

1-866-974-2733.

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