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Ca-17 Form: What You Should Know

The forms have been designed to help injured employees determine whether they can continue working. In accordance with U.S. Department of Labor (DOL) regulations, employees should report the loss of paid vacation to the DOL, along with the name of their doctor who wrote a doctor's note stating the employee cannot work on a commercial basis. The form contains information on the doctor's name, patient's location along with the date and date of the injury. Letter carriers were told to report as soon as possible, however there is no specific time limit.  Letter carriers should notify their union local that they had received this form and that all information should be sent to their union local. The letter carriers must also keep a signed copy of form CA-17 in their mailbox.  If the employee is able to work, but does not comply with the medical exclusion, a letter from the doctor must be sent to the Postmaster General (USPS or USPS). In addition, the letter should be sent to the Department of Labor's Wage and Hour Division (WHO). Please keep a copy of this form in your mailroom. A copy is also available at the Post office at all post office locations, or you can download a copy from the USPS website Mail-Dollars for Lost Wages Due to Labor Laws Mail-Dollars for Lost Wages Due to Labor Laws form In general, USPS does not offer mail refunds to postal workers who earn wages from the U.S. Postal Service. There are three cases involving postal workers who lost wages due to labor law violations while working for the Postal Service: The USPS determined that the first postmaster supervisor of the San Francisco post office did not correctly report the employees who worked for him (apparently they were classified as contractors) in 1996. When the workers complained, the USPS terminated the supervisor's employment. The post office then determined that one of its supervisors knew he was not entitled to overtime pay and had not taken the time to obtain a determination from the state labor department. The post office terminated the postmaster for gross negligence. The employees were awarded 6,600.00 in unpaid wages.  On November 12, 1997, three postal employees filed a lawsuit against the USPS alleging violations of their federal wage and hour laws for wages paid by the USPS before they could file a complaint against their postal supervisors with the state labor department.

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