University of Michigan Professional Nurse Council
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  • Contract
  • Newsletter
  • Member Business
    • 2020 Leadership Meeting Schedule
    • Representatives
    • Bylaws
    • Forms and Other Resources
  • Weingarten Rights
  • Assignment Despite Objection
  • Communication Team Leaders
  • Educational Opportunities

​Workload/Representative Forms

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

Other Forms

  • Reimbursement Request Form
  • Bio and Consent For Appointment

Click here for ADO forms
​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
University of Michigan Professional Nurse Council
4343 Concourse Dr., Suite 230, Ann Arbor, MI 48108-8802


  Ph: 734.663.5657, Fax: 734.663.0212

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  • Home
  • Contract
  • Newsletter
  • Member Business
    • 2020 Leadership Meeting Schedule
    • Representatives
    • Bylaws
    • Forms and Other Resources
  • Weingarten Rights
  • Assignment Despite Objection
  • Communication Team Leaders
  • Educational Opportunities