This page lists and describes Civil Service forms available for printing or downloading. To find a form, select the form from in one of the drop-down lists below grouped by type. Use the and instructions for downloading in Helpful tips (with macros to add sections/pages to the form), or Microsoft Office 2003 format (with fill-in fields to enter text), or the PDF format . Civil Service Forms FAQ page
To enable all the form features, select the "Enable Macros" button (or "Enable Content" button in MS Word 2010 or 2013) when you open the templates (also see FAQs or Disabled Macros Error or Enable Content Help).
Most of the Word forms are protected, so the instructions for each form cannot be read by a screen reader while still protected. To unprotect the form, go to Unprotecting Forms Help.
Documents edited in PDF format cannot be saved or e-mailed electronically unless you have a software license with Adobe Acrobat. If you do not have a license, you must either mail the documents to the address provided on the documents, or fax them to the fax number indicated on the documents.
Forms for State Employees and Applicants
Choose a Form Adding Names to Applicant Pools App for 12-Month Trial Appointment Handicap CS630 App to Continue Insurances CS1820 Application for Leave to Appeal to the ERB CS1743 Beneficiary Designation Change CS1781 Brief in Response to Application for Leave to Appeal CS1754 Claim of Appeal to the ERB CS1756 CS Position Description CS214 Dependent Care Flex Spending Acct Mid-Year Enrollment CS1774 Disability Accommodation Request by Employee CS1668 Disclosure of Interest CS1783 DMO Leave Application CS1838 Final Compensation Beneficiary CS140 Flexible Spending Accounts Life Event/Election Change CS1784 FMLA Certification Employee Relative CS-1807 FMLA_Leave of Absence Request_Response CS1810 Grievance Form CS100 Group Appeal Contact Information CS1793 Health Care Flex Spending Acct Mid-Year Enrollment CS1773 HealthCare Acct Cont of Coverage CS1814 HIPAA Disclosure Authorization CS1786 HIPAA Privacy Complaint Form CS1782 Life and Accidental Duty Death CS1717 Non-FMLA Medical Certification by Physician CS1835 OEAI Application and Affidavit CS1833 Order to Appear or Produce Documents CS1747 Petition for Election CS1760 Proof of Service to Other Parties CS1740 QTFB Enrollment Form CS1776 QTFB Reimbursement Claim Form CS1779 Recall Election Form CS1848 Technical Complaint Form CS212 Unclassified Position Description CS133 Verification of Eligibility CS1830 Vets Preference Registration Form CS1791
Applications for Examinations
Choose a Form Corrections Nonprofessional Supervisors Exam 4081 Entry-Level Law Enforcement Exam 2002 State Police Lieutenants Exam 2022 State Police Sergeants Exam 2012
Forms for Managers and Personnel Staff
Choose a Form Agency Candidate Credential Review Certifications CS1753 Asst Att Gen Perf Mgmt & Competency Rating Form CS1762 Discriminatory Harassment Work Rule Employee Departure Report CS301 Employee Personal Data CS1785 Employment History File Correction Request CS1705 Evaluation of Disability Accommodation CS1670 Family Medical Leave of Absence Form CS1787 Final Compensation Beneficiary Affidavit CS140a Group 1 Perf Mgmt & Competency Rating Form CS1750 Group 2 Perf Mgmt & Competency Rating Form CS1751 Group 3 Mgrs Perf Mgmt & Competency Rating Form CS1761 Group 3 Supv Perf Mgmt & Competency Rating Form CS1752 Group 4/SES Perf Mgmt & Competency Rating Form CS1719 Interim Employee Rating CS375 Oath of Office CS314 Plan C Leave of Absence Form CS1788 Position Description CS214 Position Request CS1795 Request for Credential Review CS153 Request for Prior Employment History CS1704 Response to Disability Accommodation Request CS1669 SEMAS Limited Term Agreement CS1738 SES Limited Term Agreement CS1720 State Police Performance Management Rating CS1792 Unclassified Position Description CS133
Your questions and comments are welcome.
Send them to the Civil Service Internet Team.
Revised: November, 2019
Form Name and Number
Microsoft Office 2003 Format
App to Continue Insurances CS-1820
This Form is for Employee Benefits, Human Resource Offices, and Retirement Use Only
Application for Leave to Appeal to the Employment Relations Board CS-1743
Application for the Twelve-Month Trial Appointment Program for Persons with Disabilities CS-630
Beneficiary Designation Change CS-1781
Brief in Response to Application for Leave to Appeal to the Employment Relations Board CS-1754
Civil Service Position Description CS-214
Instructions for CS-214.doc
Instructions for CS-214.pdf
Claim of Appeal as of Right to the Employment Relations Board CS-1756
Dependent Care Flexible Spending Account Mid-Year Enrollment CS-1774
Disability Accommodation Request by Employee CS-1668
Disclosure of Interest CS-1783
DMO Leave Application CS-1838
This Form is for Disability Management Office Use Only
Final Compensation Beneficiary Designation CS-140
Flexible Spending Accounts Life Event/Election Change CS-1784
FMLA Certification Employee Relative CS-1807
FMLA_Leave of Absence Request_Response CS-1810
Grievance Form CS-100
Group Appeal Contact Information CS-1793
Health Care Flexible Spending Account Mid-Year Enrollment CS-1773
Health Care Flexible Spending Account Continuation of Coverage CS-1814
HIPAA Disclosure Authorization CS-1786
HIPAA Privacy Complaint Form CS-1782
Life Insurance and Accidental Duty Death Enrollment and Beneficiary Form CS-1717
This Form is for Judicial State Employees Use Only
Non-FMLA Medical Certification by Physician CS-1835
OEAI Application and Affidavit CS-1833
Petition for Election CS-1760
Proof of Service to Other Parties to the Employment Relations Board CS-1740
QTFB Enrollment CS-1776
QTFB Reimbursement Claim CS-1779
Recall Election Form CS-1848
Request to Order Witnesses to Appear or Produce Documents CS-1747
Technical Complaint Form CS-212
Unclassified Position Description CS-133
Verification of Eligibility CS-1830
Vets Preference Registration Form CS-1791
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If you do not have Microsoft Office 97 or later version (e.g., Office 2000, XP, 2003, 2010, or 2013), use the pdf version of the form.
Read the instructions before you fill out the application. The instructions contain valuable information on filling out the application.
Review the quality of printing of your form and do not submit a form where printing is incomplete, not formatted properly, or otherwise looks odd.
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How to Download and Use Civil Service Forms
If you decide to "Open the file from its current location," do not be alarmed if a "Yellow band " underneath the ribbon appears indicating, "Macros in the document are disabled." All of the form templates contain macros and/or customizations from a trusted source. Therefore, select the "Enable Content " button to proceed with opening the form template. You can then fill in the form template and print it directly from the Web. If you cannot click on the Enable Content button due to a disability, visit the page at http://www.michigan.gov/documents/mdcs/MCSC_Enable_Content_Help_515551_7.doc. Enable Content Help
To save a file to your computer using Microsoft Office 97 or later version (e.g., Office 2000, XP, 2003, 2010, or 2013), find the form you need from the list above and double-click on the file name (e.g., CS1781, for a MS Word document). After you click on the form template name, a window may open asking you what you want to do. You can Open, Save, or Save As. This warning will vary based on the browser you are using. Choose Open. Once the form template opens, you can select the ". Save As" command from your " File" menu and save the form template to your template folder (e.g., "C:, H:, or S: drive")
Once you have saved the form template to your template directory, open MS Word and select the form template from the File + New from the left, menu bar to create a new form document. Complete the form by tabbing through the fields and entering the requested text. Use the "space bar" or mouse to select a checkbox. The forms do not need to be unprotected in order to enter information into the fields on the forms. Use the unprotect feature of the form only to reformat the actual form. Be sure to reprotect the form, if you unprotect it, before printing it, or all of the information entered into the fields will disappear when you print the form. For more detailed information on downloading and saving the templates, see the . FAQs
Instructions for Downloading and Using the PDF Format
Acrobat Reader is required to view, fill-in responses, and print a form in a PDF format. You cannot save the filled-in responses unless you have a license for Adobe Acrobat (however, you can save a copy of the form without your responses with just the "Reader"). Click on the yellow box to download a free copy of Acrobat Reader.
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The state of Michigan is an Equal Opportunity Employer
Drug Testing Policy: All persons offered employment in the classified service are required to submit to and pass a pre-employment drug test as a condition of employment.