Forms

Michigan Medicine forms below are organized by category. If you know the name of the form you are looking for, site search is another tool to consider.

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Blue Folder Brigade
Drug-Free Workplace
Employee Retention
Family Medical Leave Act (FMLA)
Health & Wellness
Hiring
Labor Relations
Performance Management
Time Away From Michigan Medicine
Timekeepers
U-M Forms

Blue Folder Brigade

Joint Commission Orientation Override for Hires Before 1993
PDF
Mandatories/Institutional Competency Assessments
PDF
Ongoing Education MLearning
PDF
Performance Review Record Missing
PDF
Population Specific Served
PDF

Drug-Free Workplace

For-Cause Drug Testing Checklist
PDF
UMPNC For-Cause Drug Testing Assessment
PDF
Manager's Quick Overview Presentation - For Cause Testing Process
Presentation

Employee Retention

Supervisor's Retention Interview Form
DOC

Family Medical Leave Act (FMLA)

FMLA Certification: Current Servicemember
PDF
FMLA Certification: Employee Own Health Condition
PDF
FMLA Certification: Family Member
PDF
FMLA Certification: Veteran for Military Caregiver
PDF

Health & Wellness

Work Remote Equipment Request
PDF
Telecommuting Evaluation
PDF
Remote Work Agreement
PDF
Remote Work Agreement - Union
PDF

Hiring

Employment History Form
PDF
RIF Feedback Form
DOC

Labor Relations

Collective Bargaining Forms
University HR

Performance Management

APRN Performance Evaluation
Michigan Medicine Internal
Clinical Nurse Specialist (CNS) Performance Evaluation
DOC
Completion of Probationary Period Evaluation
University HR
My Valuation
DOC
Nursing at Michigan Performance Evaluations
Michigan Medicine Internal
Physician Assistant (PA) Valuation
Michigan Medicine Internal
Probationary Review
University HR
RN Per Diem Performance Evaluation Instructions
PDF
RN Per Diem Annual Peer Evaluation
DOC

Time Away From Michigan Medicine

AFSCME Funeral Leave Request
PDF
COVID-19 One-Time Bank Form
ServiceNow Form
Time Off Award Certificate & Guidelines
DOC

Timekeepers

Payroll Correction
DOC
Repayment Agreement
PDF
Sell Back Request
PDF
Static/Dynamic Group & Schedule Request
PDF

U-M Forms

Department Maintenance Form (update a dept name, director, etc.)
Shared Services Center
Report Recipient Override Form (update who receives payroll reports for a dept)
Shared Services Center
Salary Transfer Request
University Payroll