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Forms

Annual Leave Donation Forms

Annual Leave Donation Direct Transfer Form OSE15

This form is for use by employees where the applicable collective bargaining agreement or Civil Service Regulation authorizes direct transfer of annual leave. Only annual leave may be donated.

Annual Leave Donation to Bank Form OSE16

This form is for use by employees where the collective bargaining agreement or Civil Service Regulation authorizes an annual leave bank and all non-exclusively represented employees. Only annual leave may be donated.

Request from Annual Leave Bank OSE18

This form is to be used only by the S & E (H21), HSS (E-42), MCO (C-12), UAW (W-22 and W-41) as well as non-exclusively represented employees (NEREs) for requesting time from their respective annual leave banks.

Grievance Forms

AFSCME Institutional Unit Grievance Appeal Form

This is the statement of grievance form for Institutional Unit employees exclusively represented by the American Federation of State, County and Municipal Employees (AFSCME).

AFSCME Institutional Unit Grievance Form

This is the statement of grievance form for Institutional Unit employees exclusively represented by the American Federation of State, County and Municipal Employees (AFSCME).

MCO DHHS Grievance Form

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.

MCO MDOC Grievance Form

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.

MSEA Employee Grievance From OSE19

This is the statement of grievance form for Labor and Trades employees exclusively represented by the Michigan State Employees Association (MSEA).

SEIU 517M Scientific and Engineering Grievance Form

This is the statement of grievance form for Scientific and Engineering Unit employees exclusively represented by the Michigan Professional Employees Society (MPES).

SEIU 517M Technical Unit Grievance Appeal Form

This is the statement of appeal of grievance for Technical Unit employees exclusively represented by the United Technical Employees Association (UTEA).

SEIU 517M Technical Unit Grievance Form

This is the statement of grievance form for Technical Unit employees exclusively represented by the United Technical Employees Association (UTEA).

UAW Grievance Appeal Form

This is the statement of appeal of grievance for Human Service and Administrative Support Unit employees exclusively represented by the UAW.

UAW Grievance Form

This is the statement of grievance form for UAW represented employees in the Human Service and Administrative Support Units.

School and Community Participation Leave 

School and Community Participation Leave Form

For eligibility and other information, refer to your applicable collective bargaining provisions or Civil Service Commission Regulation 5.09, Section C., for non-exclusively represented employees. 

Voluntary Work Schedule Adjustment

Voluntary Work Schedule Adjustment Form

VWSAP is a mutually agreed upon arrangement that allows an employee to voluntarily take unpaid time off for a portion of the pay period (Plan A) or year (Plan C).  

Workers Compensation Form

Workers Compensation Claim Form

Workers' Compensation Claim Form for State Employees