MADISON WISCONSIN AREA LOCAL

                                                     AMERICAN POSTAL WORKERS UNION

                                                              LOST TIME VOUCHER

                         Authorization # ______________________ Date Submitted_____________

                 I, _________________________ hereby apply for ________________ hours of pay

                 level__________ step_____________@ $______________per hour. These hours were

                 spent while attending____________________________ on ________________

                    __________________________________           _______________________

                      Members Signature                                                        Presidents Signature