Forms for Members
Assignment Despite Objection
Use this ADO Form to report an incident or ongoing concern about workload or staffing that impacts quality of patient care or quality of work life at Michigan Medicine.
Scheduling & Staffing Committee Activation Form
To request a scheduling and staffing committee in your department, fill out this: Scheduling & Staffing Committee Activation Form.
Joint Health/Safety Committee
Fill out this form to nominate yourself to serve on the Joint Health/Safety Committee for your bargaining unit. Only members in good standing may serve on the Committee.
Interim Lead Retro Pay Form
Fill out this form by March 9th to secure back pay for interim lead assignments since April 27, 2025: Interim Lead Retro Pay Form