Medical Forms

Not sure which form you need? Contact your Teamsters Members Assistance Program Coordinators here.

Absence Management Notifications - Letters or Emails 2026-07-31

Absence Management Submit Your Non Occupational Documentation 2026-08-03

Absence Management United Absence Certificate 2026-07-31

Absence Management United Outside Employment Form 2026-07-31

Address Update with Teamsters Local 856 2026-08-03

Address Update with Teamsters Local 986 2026-08-03

Address Update with United 2026-08-03

EDD Applying for CA Paid Leave - CAPFL Bonding 2026-07-30

EDD Applying for CA Paid Leave - CAPFL Care 2026-07-30

EDD Applying for CA State Disability Insurance - CASDI 2026-07-30

EDD 2026-08-17 - Kaiser CASDI Certification Request 

Extended Illness Status EIS Leave Information from TMAP 2026-08-11

FMLA Form CA Civil Rights Dept Form CRD-E11P-ENG - CFRA-Certification-Health-Care-Provider_ENG 2023-01

FMLA Form Dept of Labor Form WH-380-E for Employees Serious Health Condition 2020-06

FMLA Form Dept of Labor Form WH-380-F for Family Members Serious Health Condition 2020-06

FMLA Form United FMLA Form with QR Code downloaded 2026-07-30

FMLA Kaiser FMLA Certification Request 2026-07-29

FMLA United Process to Request FMLA 2026-07-29

FMLA United Process to Request FMLA for Birth-Adoption of a Child 2026-07-29

Medicare United Process to Request Employment Verification Form L564 2026-08-03

United Airlines LTD Claim Intake Brochure 1126_693103720

Workers Comp Employee Work Status Form 2025-12

Workers Comp Free Choice of Personal Physician - See your own Dr if you get hurt at work 2022

Workers Comp Initial Occupational Absence Documentation Submission 2026-08-04