Usps Form 3971 Printable

Ps form 3971 october 2017 page 1 of 2 psn 7530 02 000 9136 warning.

Usps form 3971 printable. Check out our various publications and manuals to learn more about what the postal service can do for you. Forms ps form 3971 request for or notification of absence. Request for or notification of absence no. Previous editions of ps form 3971 should be discarded and replaced with the march 2008 version.

New ps form 3971 revision has new look and expanded recording capability. Ps form 3971 is often used in us. The furnishing of false information on this form may result in a ne of not more than 10000 or imprisonment of not more than 5 years or both 18 usc. The furnishing of false information on this form may result in a fine of not more than 1 0000 or imprisonment of not more than 5 years or both.

Ps form 3971 april 2001 page i of 2 warning. Download fillable ps form 3971 in pdf the latest version applicable for 2020. Postal service usps united states federal legal forms and united states legal forms. A revised ps form 3971 request for or notification of absence with a new look and functionality is now available.

Form 3971 is first given to the employee to fill out and then submitted to the supervisor for approval. Form 3971 refers to request for or notification of absence developed and released by the us. See page 25 of this postal bulletin for a copy of the revised form. Ps form 3553 cass summary report pdf ps form 3606 certificate of bulk mailing pdf ps form 3615 mailing permit information and customer profile pdf.

Of hours requested from date thru date hour hour revised schedule for date approved in advance yes no begin work lunch out lunch in end work total hours official action on application return copy of signed request to employee signature of supervisor and date ps form 3971 march 2008 page 1 of 2. 1001 un during this absence i was incapacitated for duty by. Fill out the request for or notification of absence online and print it out for free. A new version of ps form 3971 request for or notification of absence dated december 2011 is available effective august 31 2012 see page 10the changes provide expanded recording capability of both requests and designation of protected leave under the family and medical leave act fmla.

The form is designed for employees employers or supervisors. 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. Request for or notification of absence employees name print last first mi employee id date submitted. Cop usps 71 07100 cop usps fmla 71 03 07199 court duty 61 06100 donated 45 04500.

Scheduled pp year sickness undergoing medical dental or.