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U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of YOLANDA L. BULGES and U.S. POSTAL SERVICE, POST OFFICE, San Francisco, CA Docket No. 991235; Submitted on the Record;

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1. Gather all the required information and documents, such as your personal details, employment history, and any relevant supporting documents.
2. Carefully read the instructions provided with the form to ensure you understand the requirements and sections of the form.
3. Start by writing your full name, address, and contact information in the designated sections of the form.
4. Provide accurate information about your current employment, including the name of your employer, your job title, and your dates of employment.
5. Fill out the sections that ask for details about any previous jobs you have had, including the names of the employers, job titles, and dates of employment.
6. If the form requires you to provide information about your education, provide the necessary details such as the names of the schools you attended, the degrees or certifications earned, and the dates of attendance.
7. Answer any additional questions or sections in the form that pertain to your specific situation, such as questions about military service or disability.
8. Double-check all the information you have provided to ensure it is accurate and complete.
9. Sign and date the form in the designated section to certify that the information you have provided is true and correct.

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2. Employers who are required to report incidents or accidents in the workplace to the Department of Labor may also need to fill out this form.
3. It is important to refer to the specific guidelines and requirements of the Department of Labor to determine if and when this form is needed for your situation.

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