Forms

Text with worker wrapping pipe.

The following Notice of Alleged Safety and Health Hazards (Complaint Form), Michigan Model Management Plan, and Notification Form have been designed to complete online, print, and mail to the Asbestos Program. These forms ARE NOT designed to be submitted electronically.

Notice of Alleged Safety and Health Hazards (Complaint Form)

Michigan Model Management Plan for AHERA

Notification Form (doc / pdf)

The Notice of Alleged Safety and Health Hazards (Complaint Form) listed below, allows an employee to report hazards in the workplace to MIOSHA. It has been designed to be completed and submitted online.

Safety and Health Hazards (Online Complaint Form)

 

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