The changes provide expanded recording capability of both requests and designation of protected. Form fda 1571 supplement 0319 form instructions previous editions obsolete page 1 of 6 psc publishing services 301 443640 ef investigational new drug application ind. Mou concerning regular carriers working other routes and on sundays. Ps forms ps 3971 nonfillable ps 3971 fillable ps 3189 new change of. The form was last released by the united states postal service usps in october 2017 with the new ps form 3971 effective since november 1, 2017. Forms ps form 3971, request for or notification of absence. Use this stepbystep guideline to complete the ps form 3971 swiftly and with excellent precision. Nov 01, 2017 ps form 3971, request for or notification of absence also known as the usps form 3971 is a form used for requesting a leave by postal employees. Add your email to get updates when new downloads are added.
As a result of changes to postal service policies and procedures, ps form 3971, request for or notification of absence, is revised effective march 2008. Except for emergencies, leave for all employees excluding postmasters and installation heads must be requested on form 3971 and approved in advance by the appropriate supervisor. Scheduled pp year sickness undergoing medical, dental, or. Fill out, securely sign, print or email your 3971 20112020 form instantly with signnow. If a form 3971 is submitted and no reply is received for weeks, what happens. The current ps form 3971 forms included updated hatch act and. The ps form 4003 contains all the routes current, active delivery data including an official line of travel, current number of deliveries, miles traveled, authorized dismounts, etc this form is used to. Sep 01, 2012 new ps form 3971 revision has new look and expanded recording capability. Add your email to get updates when new downloads are added email address. Ps form 3971, request for or notification of absence also known as the usps form 3971 is a form used for requesting a leave by postal employees. A new version of ps form 3971, request for or notification of absence, dated december 2011, is available effective august 31, 2012 see page.
The way to complete the online 2019 form 3971 on the internet. The furnishing of false information on this form may result in a. The employee must also complete and submit a ps form 3971 request for or notification of absence. The advanced tools of the editor will direct you through the editable pdf template. Medical certificationemployees own serious health condition. The form was last released by the united states postal service usps in october 2017 with the new ps form 3971 effective since november 1, 2017 the form is inaccessible online, but you can download a pdf version of this form down below for. I am requesting family and medical leave act fmla protection for this absence. Nov 20, 2017 the current ps form 3971 forms included updated hatch act and privacy act statement information. Ps form 3971 request for or noti fication of absence oct. To download the form, go to the policynet site and select the forms tab on the front page. See page 25 of this postal bulletin for a copy of the revised form previous editions of ps form 3971 should be discarded and replaced with the march 2008 version. Ps form 3971, december 2011 page 1 of 2 psn 75300200096 warning. New york postal worker continues tradition of hosting thanksgiving for community. Use this stepbystep guide to fill out the 3971 20112019 form promptly and with excellent accuracy.
Usps updates ps form 3971, request for or notification of. New usps ps form 3971 revision has new look and expanded. Sign, fax and printable from pc, ipad, tablet or mobile. Here youll find all the forms necessary to handle your business mailing needs. The forms can be also ordered from the material distribution center or through ebuy2 under the mdc ebuy2 catalog. Ps form 3971, december 2011 page 1 of 2 psn 75300200096. A revised ps form 3971, request for or notification of absence with a new look and functionality is now available. The way to complete the online ps form 3971 on the internet. I will not be entitled to the payment of outofschedule premium for hours worked outside of and instead of my regular schedule. Usps updates ps form 3971 request for or notification of. Ps form 3971 request for or notification of absence. Primary bt fill in individual days below only if needed sat sun mon tue wed thu scheduled days off. The revised form provides more space for requests and designation of protected leave under the family and medical leave act fmla.
The current ps form 3971 forms included updated hatch act and privacy act statement information. If a supervisor does not approve a request for leave as submitted, the disapproved block on the ps form 3971 is checked and the reason s given, in writing, in the space provided. May 24, 20 the employees health care provider must complete this form when an employee requests fmla leave and medical documentation is required see elm sections 512. All earlier versions of this form are outdated and should be recycled. The ruralinfo guide for new regular rural carriers the ps form 4003 and the ps form 4241a. A new version of ps form 3971, request for or notification of absence, dated december 2011, is available effective august 31, 2012 see page 10. Mar 19, 2019 system dois instructions for downloading a ps form 3999 into. Become a redditor and subscribe to one of thousands of communities. Use only the revised version october 2017 of ps form 3971. Families first coronavirus recovery act american postal workers.
All grievance forms can be found on the shop stewards corner page. Ps form 3971, october 2017 page 1 of 2 psn 75300200096 warning. Two new leave types are now extended to postal employees. To verify that wwl requested is appropriately used for the treatment of the serviceconnected disability, the requesting employee must submit to the supervisor a copy of ps form 5980, treatment verification for wwl, certified by a health care provider that the. To download the form, go to the policynet site and select the forms. The supervisor is responsible for approving or disapproving the ps form 3971.
On the form 3971 for type of leave you are requesting, check other and write in code 07719 for reason. Requests for scheduled absences are made in writing on form 3971, request for or notification of absence. The supervisor is responsible for approving or disapproving requests for sick leave by signing ps form 3971, a copy of which is given to the employee. New ps form 3971 revision has new look and expanded recording capability. Nov 27, 2017 all earlier versions of this form are outdated and should be recycled. Aug 26, 2018 on the back of the form there fogm a new section our programs and benefits inspire ps form 3971 to participate in the union and give them a sense of inclusion, contribution, and ownership. Oct 19, 2018 ps form 3971 download 7 dec effective november 1, the postal service revised ps form, request for or notification of absence, with the following changes. Forms ps form 3971, request for or notification of absence, has a new look and functionality. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. These changes resulted from ps form 3971 situation during the presidential elections. Ps form 3971 download fillable pdf or fill online request for or. Ps form 3971 fill out and sign printable pdf template signnow.
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