APWU Grievance Forms

Step 1 Grievance Outline Worksheet

Step 2 Grievance Appeal Form

Step 3 Grievance Appeal Form

Appeal to Arbitration from Step 2 Form

Request for Information

Travel reimbursement

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                     OWCP Forms
Form Number     OWCP's Form Title / Description

CA-1* Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
CA-2* Notice of Occupational Disease and Claim for Compensation
CA-2a* Notice of Recurrence
CA-7* Claim for Compensation
Form CA-7 replaces ALL prior versions of CA-7 & CA-8 (see FECA Bulletin No. 99-18)
CA-7a* Time Analysis Form, used for claiming compensation, including repurchase of paid leave
CA-7b Leave Buy Back (LBB) Worksheet/Certification and Election
CA-10 What A Federal Employee Should Do When Injured At Work

CA-12* Claim For Continuance of Compensation Under the Federal Employees' Compensation Act
CA-17* Duty Status Report
CA-20** Attending Physician's Report 
CA-35 Evidence Required in Support of a Claim for Occupational Disease
OWCP-5a** Work Capacity Evaluation Psychiatric/Psychological Conditions
OWCP-5b** Work Capacity Evaluation Cardiovascular/Pulmonary Conditions

OWCP-5c** Work Capacity Evaluation for Musculoskeletal Conditions
OWCP-915* Claim For Medical Reimbursement
Form OWCP-915 replaces CA-915
OWCP-957* Medical Travel Refund Request

FMLA Forms

Form 1 Certification by a Health Care Provider for the Employee’s Own Serious Illness

Form 2 Certification by a Health Care Provider for a Family Member’s serious Illness

Form 3 Certification by Employee of Qualifying Exigency for Military Family Leave

Form 4 Certification by a Service Members Health Care Provider for Caregiver Military Family Leave

Fax number to submit your FMLA forms to HRSSC is 651-456-6062
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