Workload / Representative Forms

• ​​Workload Review Committee Meeting Minutes Template (Word document)
• Workload Review Committee Agenda Template (Word document)
• Dispute Facts Collection Sheet (Word document)
• Option Generation Worksheet (Word document)
• Option Generation Worksheet (PDF)
• PSM Forms (PDF)

Other Forms

• Reimbursement Request Form (Word document)
• Bio and Consent For Appointment (Word document)

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Employee resources

• ​Michigan Medicine Office of Counseling and Workplace Resilience (formerly Employee Assistance Program)
• Michigan Medicine FMLA Information
• Department of Labor FMLA Information
• Independent Medical Examinations form for Workman's Compensation
• Managing Someone Else's Money - free resources from the Consumer Financial Protection Bureau