Introduction
- Introduction
Flexible Spending Account Forms
- Flexible Spending Account Spending FormsAll Flexible Spending Account forms are now available on the Civil Service Commission web page site.
Grievance Forms
- Institutional Unit Grievance Form OSE/U11-1
This is the statement of grievance form for Institutional Unit employees exclusively represented by the American Federation of State, County and Municipal Employees (AFSCME). - Institutional Unit Grievance Appeal Form U11-2 This is the statement of appeal of grievance for Institutional Unit employees exclusively represented by the American Federation of State, County and Municipal Employees (AFSCME).
- Michigan State Employees Association - Employee Grievance Form OSE-19
This is the statement of grievance form for Labor and Trades employees exclusively represented by the Michigan State Employees Association (MSEA).
- Scientific and Engineering Unit Grievance Form This is the statement of grievance form for Scientific and Engineering Unit employees exclusively represented by the Michigan Professional Employees Society (MPES).
- 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. - Technical Unit Grievance Form OSE/L32-1 This is the statement of grievance form for Technical Unit employees exclusively represented by the United Technical Employees Association (UTEA).
- 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.
- Technical Unit Grievance Appeal Form OSE/L32-2 This is the statement of appeal of grievance for Technical Unit employees exclusively represented by the United Technical Employees Association (UTEA).
- UAW-Local 6000 Grievance Form OSE/UAW-1 This is the statement of grievance form for UAW represented employees in the Human Service and Administrative Support Units.
- UAW-Local 6000 Grievance Appeal Form OSE/UAW-2 This is the statement of appeal of grievance for Human Service and Administrative Support Unit employees exclusively represented by the UAW.
- UAW - Request for Release for UAW Grievance Investigation OSE-13 This form requesting release to investigate a grievance(s) as authorized by the UAW & State of Michigan contract, must be completed by the Chief Steward and approved by the appropriate supervisor before release is authorized.
Insurance Forms
- Insurance Forms All insurance forms are located on the Civil Service Commission, Employee Benefits Division web page.
Request for Time
- Annual Leave Donation Direct Transfer Form OSE-15
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 Bank - Donation Form OSE-16
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 for Time from S & E, HSS, MCO, UAW or NEREs Annual Leave Banks OSE-18
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.
- School and Community Participation Leave Request Form OSE-14
This 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 Agreement This 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.
Other Forms
- Supervisor's Report of Reasonable Suspicion This form is to be completed to document the supervisor's observation prior to requiring an employee to submit to a reasonable suspicion drug or alcohol test.
- Change to Recall Form OSE-11 This form changes an employee's recall form. An employee can change locations and classifications for potential recall.
- Employee Recall Form OSE-10 This form should be filled out by employee going on layoff. The form indicates classification and location for potential recall.
- AFSCME & State of Michigan Tuition Reimbursement Application
This 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. It is the responsibility of the employee to ensure that the college, university, or trade school is either accredited or licensed. A list of accredited colleges and universities is available at http://www.collegedegree.com/states/michigan-colleges.
- AFSCME & State of Michigan Health Insurance Assistance Application This 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.
- Professional Development Fund Reimbursement Application OSE-115
This form is for non-exclusively represented employees requesting reimbursement from the Professional Development Fund. The form must be sent electronically to the Office of the State Employer to seek reimbursement. Please submit the application in EXCEL format.
- UAW Interdepartmental Transfer List Form This 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.