CWA Local 1033

Communications Workers of America, AFL-CIO

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Forms

If you’re represented by CWA Local 1033, you have rights guaranteed under a collective bargaining agreement, as well as certain rights under Federal Labor Laws.  The following forms are available to you to exercise your rights.

Family Medical Leave Act (FMLA)

  • WH-380-E: Certification of Health Care Provider for Employee’s Serious Health Condition
  • WH-380-F: FMLA Certification of Health Care Provider for Family Member’s Serious Health Condition
  • WH-384: FMLA Certification of Qualifying Exigency For Military Family Leave
  • WH-385: FMLA Certification for Serious Injury or Illness of Covered Servicemember — for Military Family Leave

Family Leave Insurance (FLI)

  • Division OF Temporary Disability Insurance Application For Family Leave Insurance Benefits (FLI) (FL-1)

Equal Employment Opportunity Commission (EEOC)

  • Filing a Charge of Discrimination with the Federal EEOC
  • State of New Jersey Division of Equal Employment Opportunity and Affirmative Action Discrimination Complaint Processing Form (DPF-481)

Grievance Form

  • State of New Jersey Grievance Procedure Form (DPF-251)

Health & Safety

  • New Jersey Public Employees Occupational Safety and Health Complaint Form (OCC-57)

State Position Classification Questionnaire (AKA: Desk Audit) (DPF-44S)

  • State Position Classification Questionnaire – New Jersey Civil Service Commission, Division of State & Local Operations (DPF-44S)
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Upcoming CWA Local 1033 Events

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Hours & Info
321 W. State St
Trenton, NJ 08618
1-609-394-7725
Monday -Friday
9:00 am - 5:00 pm

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