Charlotte Area Local 375, APWU
3521 Mulberry Church Rd. 
Charlotte , NC 28208
Phone: (704) 394-5104
1-800-798-9895
 

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 Family Medical Leave Act

FMLA Form 1, Employee Certification of own serious illness 

FMLA Form 2, Certification by Employee's Health Care Provider for Employee's Serious Illness 

FMLA Form 3, Health Care Provider Certification of Family Member Illness 

FMLA Form 4, Notice of Need for Intermittent Leave or for a Reduced Schedule 

FMLA Form 5, Desired or Needed Absences for Birth or Placement of Son or Daughter

FMLA Form 6, USPS Verification of Veterans Treatment 

FMLA Form 7, Management Request for Clarification of Medical Certification 

 

Charlotte Area Local 375, APWU
3521 Mulberry Church Rd. 
Charlotte , NC 28208
Phone: (704) 394-5104
Toll Free:1-800-798-9895
Fax:      (704) 394-5404

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