America Postal Workers Union, AFL-CIO
Broward County Area, Local 1201
Jeff Riddell, President
Address:      6500 W. Sunrise Blvd
                     Plantation, Florida 33313
Phone:         (954) 792-2161
Fax:              (954) 792-2162
Email:           apwu1201@bellsouth.net
Next Meeting:
General - Oct. 20, 2013 9:30 am
Stewards - Oct. 9, 2013 7:00 pm
Address:      6500 W. Sunrise Blvd
                     Plantation, Florida 33313
Phone:         (954) 792-2161
Fax:              (954) 792-2162
Email:           apwu1201@bellsouth.net
Next Meeting:
General - Oct. 20, 2013 9:30 am
Stewards - Oct. 9, 2013 7:00 pm
  Unity    Commitment    Strength


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
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
OWCP-957      Medical Travel Refund Request
Form Number                                  OWCP Form Title Description
Step 1 Grievance Outline Worksheet
Step 2 Grievance Appeal form
Step 3 Grievance Appeal form
Appeal to Arbitration from Step 2 form
Appeal to Joint Safety Committee form
Grievant or Witness Statement form
Request for Information form
New APWU  'Fillable' Grievance Forms (Forms updated 05/31/12)
Family Medical Leave Act (FMLA) APWU Forms
For APWU members
For APWU family member
America Postal Workers Union, AFL-CIO
Broward County Area, Local 1201


Jeff Riddell, President
Shelli T. Kelly, Vice President
© 2012 APWU BCAL 1201