Rural Carrier Request For Action
NAME
POST OFFICE
ROUTE
POSTMASTER/SUPERVISOR NOTIFIED
DATE NOTIFIED
THIS FORM IS TO OFFICIALLY REQUEST THE FOLLOWING ACTION (S):
1) _____I request that my route be adjusted as soon as possible in accordance with the applicable adjustment criteria (M-38, Route Adjustment Handbook, Automation MOU's and / or District Policy accepted by the union) and Article 30.1.J of the USPS / NRLCA National Agreement.
2) _____I request that I be granted my contractual right under article 9.2.C.6 of the USPS / NRLCA National Agreement to my Saturday relief day and hereby notify you that unless specified I do not agree to work my Saturday relief day.
3) _____I request that I be granted auxiliary assistance for combined (regular and relief employee) worktime that exceeds 57.36 hours per week and up to my evaluated route time. (For Overburdened Routes)
4) _____I request that I be granted auxiliary assistance and / or compensation for cleaning up surplus and / or curtailed mail left from my relief day and / or leave day.
5) _____I request that a relief employee be assigned as the leave replacement on my route.
6) _____I request
__________________________________________________________________
Date: ___/____/______Signature:__________________________________________
Original to Postmaster/Supervisor
1 copy to State Steward
1 copy to Local Steward
1 copy to Rural Carrier