Forms

Evaluation Forms

Performance Evaluation Template (Be sure to download and save the form first, and open in Adobe Acrobat DC. Do not use the Adobe Viewer by clicking on the download because you will not be able to save any edits.)

Performance Evaluation Guide

Leave Request Forms

Introducing Payroll's new fully online Leave Request Form. Request and file your time off with this new digital form.

Access the new Leave Request Form

Worker's Comp

Authorization to Treat Form

Employee Incident Reporting Process

Employee Report of Injury (Incident Report)

Supervisor Report of Injury

Family Medical Leave (FMLA)

Department of Labor Employee Guide to FMLA

FMLA Q&A

Definitions of Serious Health Conditions

Employee Rights and Responsibilities

FMLA Leave Request Form

Tuition Reimbursement/Grant

Tuition Reimbursement:

Request for Tuition Reimbursement

Grow Our Own Nurses - MSN Plan

Tuition Grant:

MID and Edustaff Tuition Grant for Part-time Staff

Full-Time Employee Family Tuition Grant Request Form

Retiree Tuition Grant Request Form

Concurrent Enrollment Tuition Scholarship

Concurrent Instructor/ Family Tuition Form

New Hire/ Separation

New Hire/ Re-Hire Form

Separation Form

Employee Offboarding Checklist

Transfer/ Change of Status Form

Name Change Form

Name Change Form

Exit Survey

Exit Survey

Pay Schedules

Pay Schedules 2023

Pay Schedules 2022

Pay Schedules 2021

Significant effort has been made to ensure this content meets accessibility guidelines. If you encounter a barrier you can report the barrier at midmich.edu/reportaccessibilitybarrier or contact Human Resources at (989) 386-6622 x504 or he@midmich.edu.

ADA

Accommodation Request for Employees at Higher Risk of COVID-19 Form

Volunteer/Intern Application

Volunteer/Intern Application