IntroductionThe following are frequently requested forms distributed by the OSE. This listing gives a brief description of the form and instructions on how to receive a copy. Certain forms can be downloaded via Acrobat Reader and submitted individually. Others must be obtained from your personnel office or from the appropriate division in OSE. If you do not have Acrobat Reader on your computer, you can download the application from this site. This form listing is not exhaustive.
Institutional Unit Grievance Form OSE/U11-1This is the statement of grievance form for Institutional Unit employees exclusively represented by the American Federation of State, County and Municipal Employees (AFSCME).
Security Unit (MDCH) Grievance Form (C-12)This is the statement of grievance form for Security Unit employees exclusively represented by the Michigan Corrections Organization (MCO) in the Michigan Department of Community Health. Complete this form online and mail to MCO.
Security Unit (MDOC) Grievance Form (C-12)This is the statement of grievance form for Security Unit employees exclusively represented by the Michigan Corrections Organization (MCO) in the Michigan Department of Corrections. Complete this form online and mail to MCO.
School and Community Participation Leave Request Form DMB-14-OSEThis form should be filled out by eligible employees requesting School and Community Participation Leave. School and Community Participation Leave is not to exceed 8 hours in a fiscal year. Request for time off is consistent with the procedures for requesting annual leave. Refer to applicable collective bargaining provisions or Civil Service Commission Regulations 5.09, Section C., for non-exclusively represented employees.
Voluntary Work Schedule Adjustment AgreementThis form should be filled out by eligible employees interested in participating in the Voluntary Work Schedule Adjustment program. Those eligible are non-exclusively represented employees, and employees in the Human Services Support, Scientific and Engineering, Labor and Trades, Safety and Regulatory, Administrative Support, Human Services, and Technical bargaining units. This form must be approved by the individual's immediate supervisor and the Appointing Authority of the Department.
Nomination for Test Designated Status DMB-2200-OSEThis fillable form is to be completed by departments when nominating positions for test-designated status under (1) the Omnibus Transportation Employee Testing Act (OTETA) for employees required to possess a CDL, (2) Civil Service Rule 2-7 for non-exclusively represented employees (NEREs) meeting Rule 2-7 criteria, and (3) Union Contract provisions for represented employees meeting applicable contract criteria.
Change to Recall Form OSE-11This form changes an employee's recall form. An employee can change locations and classifications for potential recall.
Employee Recall Form OSE-10This form should be filled out by employee going on layoff. The form indicates classification and location for potential recall.
AFSCME & State of Michigan Health Insurance Assistance ApplicationThis form may be used by laid off Institutional Unit employees to obtain reimbursement for continuation of group health insurance premiums. See #11 and #12 in attached criteria. This form can be filled out on line and should be printed, signed and mailed to the Michigan AFSCME Council 25, 3625 Douglas Avenue, Kalamazoo, MI 49004-3403. Please keep a copy for your records.
AFSCME & State of Michigan Tuition Reimbursement ApplicationThis form is for Institutional Unit employees requesting reimbursement for tuition. This form can be filed out on line and should be printed, signed and mailed to Michigan AFSCME Council 25, 3625 Douglas Avenue, Kalamazoo, MI 49004-3403. Please keep a copy for your records.
UAW Interdepartmental Transfer List FormThis form should be completed by UAW Members for placement on the Interdepartmental Transfer List. This form must be returned to the employee's Personnel office.