Browsers that can not handle javascript will not be able to access some features of this site.
Skip Navigation
Department of Energy, Labor & Economic GrowthMichigan.gov, Official Web Site for the State of Michigan
Michigan.gov Home DELEG Home | Sitemap | Contacts | Online Services | Agencies
Printer Friendly Version Printer Friendly   Text Only Version Text Version  Share this page.
OHR Forms

 
This page list and describes DLEG Office of Human Resources forms available for printing or downloading. To find a form, select the form from one of the drop-down lists below grouped by type.
A complete list of Civil Service forms is located at http://michigan.gov/mdcs/0,1607,7-147--22736--,00.html.
A complete list of Office of State Employer forms is located at http://www.michigan.gov/ose.

Forms for Employees
Forms for Managers/Supervisors/Bureau Liaisons

Forms for Employees
Form Number and Name PDF

MS Word

CS-1706 Adding Names to Applicant Pools for Examinations Already Taken and Passed CS1706.pdf CS1706.dot
CS-1754 Brief in Response to Application for Leave to Appeal to the ERB CS1754.pdf CS1754.dot
Exam 5030 Administrative Support Examination Information
C-53 Application for Leave of Absence of Extend Use of Leave Credits   C53.doc
CS-1743 Application for Leave to Appeal to ERB CS1743.pdf CS1743.dot
C-39 Certification of Qualifying Exigency for Military Family Leave    C39.doc
401k - 457 Defined Contribution (401k) and Deferred Comp (457) Plans Designation of Beneficiary Form DCBeneForm.pdf  
CS-1777 Benefit Enrollment application (Health, Dental, Vision, Life & LTD) CS1777.pdf CS1777.dot
R400G Defined Benefit - State Employee Beneficiary Nomination Form R400g.pdf  
C-46 Disclosure of Interest Form C46.pdf C46.dot
HR-1701 Discriminatory Harassment Complaint HR7101.pdf  
HR-7126 Ergonomic Assessment Request by Employee HR7126.pdf HR7126.dot
DLEGC 2006 Employment Application (DLEG ONLY) DLEGC2006.pdf DLEGC2006.doc
SEIU Employee Request for Department Transfer   depttx31m.doc
Non-SEIU Employee Request for Department Transfer (excluseively represented employees only - execpt SEIU )   depttx.doc
CS-140 Final Compensation Beneficiary Designation CS140.pdf CS140.doc
CS100 Grievance Form CS100.pdf CS100.dot
CS-1781  Life Insurance & Accidental Duty Death Beneficiary Designation Change Form CS1781.pdf CS1781.doc

C-38-1 Medical Certification by Physician - Employee
C-38-2 Medical Certification by Physician - Family Member
C-38-3 Medical Certification by Physician - Covered Military ServiceMember

 

C38-1.doc
C38-2.doc
C38-3.doc

C-33 Alternative Work Schedule Request   C33.doc
CS-1740 Proof of Service to Other Parties CS1740.pdf CS1740.doc
3487 Payroll Direct Deposit Authorization (EFT)

Form 3487

 
HR-7137 Physician's Statement for Reasonable Accommodations or Ergonomic Assessment HR7137.pdf  
CS-214 Position Description CS214.pdf CS214.doc
CS-1668 Disability Accommodation Request by Employee CS1668.pdf CS1668.doc
DUES Reimbursement of State Bar Dues   bardues.doc
C-24 Request for Training/Tuition Authorization for Payment CS24.pdf  
DMB-14 School and Community Participation Leave Request dmb-14-ose.doc
CS-424 Student Program Application CS424.pdf CS424.doc
Exam 9031 Supervisory Examination Application app9031.pdf app9031.dot
C-27 Supplemental Employment Application C27.pdf C27.doc
TA Time and Attendence Record   attendnc.dot
UAW Interdepartmental Transfer List Request uawidtx.pdf  
Voluntary Work Schedule Adjustment Agreement vwsaa.pdf  
VDT/CRT Eyeglass Reimbursement Form   vdt/drt form.rtf
Return to Top of Page    


Forms for Managers/Supervisors/Bureau Liaisons
Form Number and Name
PDF

MS Word

C636 Employee Departure Checklist   departchklst.doc
CS-301 Employee Departure Report CS301.pdf CS301.doc
CS-1750 Group One Employees Performance Management and Competency Evaluation Form CS1750.pdf CS1750.doc
CS-1751 Group Two Employees Performance Management and Competency Evaluation Form CS1751.pdf CS1751.doc
CS-1752 Group Three Supervisors Performance Management and Compency Rating Form CS1752.pdf CS1752.doc
CS-1761 Group Three Managers Performance Management and Competency Rating Form CS1761.pdf CS1761.doc
CS-1719 Group Four and Senior Executive Service Performance Management and Competency Rating Form
CS1719.pdf CS1719.doc
CS-375 Interim Employee Rating CS375.pdf CS375.dot
C-17 Overtime Request   C17.doc
C47 Personnel Transaction Request C47.pdf C47.doc
Pre-Employment Drug/Alcohol Testing Form(online)
DMB100a Request for Hiring Freeze   hiring_freeze.doc
Request for List listreg.pdf listreg.doc
CS-1738 Senior Executive Management Assistant Service (SEMAS)
Limited-Term Employment Agreement
CS1738.pdf CS1738.doc
Supervisor's Report of Reasonable Suspicion (drub/alcohol) reasuspi.pdf  
 
Vacancy Posting Notice  vacancies.pdf vacancies.doc
Return to Top of Page    




Helpful Tips:
  • If you do not have Microsoft Office 97 or later version (e.g., Office 2000, XP), use the pdf version of the form.
  • Read the instructions before you fill out the application. The instructions contain valuable information on filling out the application.
  • Review the quality of printing of your form and do not submit a form where printing is incomplete, not formatted properly, or otherwise looks odd.
Return to Top of Page

How to Download and Use Civil Service Forms

If you decide to "Open the file from its current location," do not be alarmed if a "Warning" dialog box pops up indicating, "The document you are opening contains macros or customizations." All of the form templates contain macros and/or customizations from a trusted source. Therefore, select the "Enable Macros" button to proceed with opening the form template. You can then fill in the form template and print it directly from the Web.

To save a file to your computer using Microsoft Office 97 or later version (e.g., Office 2000, XP), find the form you need from the list above and double-click on the file name (e.g., CS178.dot, for a MS Word document). After you double-click on the form template name, a window may open informing you that you are about to download an item from another server. This warning will vary based on the browser you are using. Once the form template opens, you can select the "Save As" command from your "File" menu and save the form template to your template folder (e.g., "C:/Program File/MSOffice/templates").

Once you have saved the form template to your template directory, open MS Word and select the form template from the File + New dropdown menu to create a new form document. Complete the form by tabbing through the fields and entering the requested text. Use the "space bar" or mouse to select a checkbox. The forms do not need to be unprotected in order to enter information into the fields on the forms. Use the unprotect feature of the form only to reformat the actual form. Be sure to reprotect the form, if you unprotect it, before printing it, or all of the information entered into the fields will disappear when you print the form. For more detailed information on downloading and saving the templates, see the FAQs.

Instructions for Downloading and Using the PDF Format

Acrobat Reader is required to view, fill-in responses, and print a form in a PDF format. You cannot save the filled-in responses unless you have a license for Adobe Acrobat (however, you can save a copy of the form without your responses with just the "Reader"). Click on the yellow box to download a free copy of Acrobat Reader.


Return to Top of Page


The state of Michigan is an Equal Opportunity Employer
Drug Testing Policy: All persons offered employment in the classified service are required to submit to and pass a pre-employment drug test as a condition of employment.



Michigan.gov Home | DELEG Home | State Web Sites
Accessibility Policy | Link Policy | Privacy Policy | Security Policy | Michigan News | Michigan.gov Survey

Copyright © 2001-2009 State of Michigan