Additional tabs which belong to the screen, can be accessed by selecting the additional tabs options on the top right corner of the screen. Screen permission rules apply with tabs. For example, if the user is not configured to query for the tab, that tab is not displayed. If the user does not have insert/update/delete permissions, those options are not displayed as action items when selecting the tab.
Tabs that have a List Details pattern like Work Order > Activities and Work Order > Parts have an icon to add new records on the card view itself. This opens the Add Activities form in the case below.