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.
Retro Pay Eligibility Form
Fill out this form if you will be in the UMMAP bargaining unit as of May 15, 2025 but plan on leaving the unit after that date and may not be in a UMMAP-represented role at the time that retroactive paychecks are issued (June 27th for hourly employees, June 30th for salaried employees): Retro Pay Eligibility Form