Michigan Department of Labor and Economic Opportunity Forms

This document is a notice of a lockout by a public school employer in the state of Michigan. It is a legal action taken by the employer to prohibit employees from entering the workplace. This notice informs employees about the lockout and its duration.

This Form is used for applying to the Miosha Advisory Committee in Michigan.

This form is used for requesting a waiver for accommodation assistance in the state of Michigan.

This form is used for tracking and documenting work search activities in the state of Michigan. It helps individuals receiving unemployment benefits to report their efforts in finding employment.

This form is used for applying for a Professional Employer Organization license in the state of Michigan.

This form is used for reporting work-related injuries and illnesses in the state of Michigan. It is required by the Michigan Occupational Safety and Health Administration (MIOSHA).

This checklist is used for MSHDA programs in Michigan. It helps individuals and families to determine their eligibility and gather the necessary documents for MSHDA programs such as affordable housing, rental assistance, and homeownership assistance.

This document is used for notifying authorities about suspected safety or health hazards in Michigan.

This form is used for submitting a notice of change in Michigan.

This form is a coupon used as payment transmittal when paying the state Unemployment Insurance (UI) tax, one of Michigan's taxes that employers must pay.

This document is a student agreement specific to Michigan colleges/universities related to COVID-19 protocols and safety measures.

This form is used for Michigan residents who are attending community college and need to request their unemployment insurance data using their Social Security Number (SSN). This document is specific to residents of Michigan.

This form is used for requesting unemployment insurance data related to Michigan community colleges.

This form is used for granting someone else the authority to make legal decisions on your behalf in the state of Michigan.

This document is used to report apparent violations of the Migrant and Seasonal Agricultural Worker Protection Act in the state of Michigan.

This Form is used for requesting an extension for the 21-day eligibility period for the Path 21-day Application in Michigan.

This document outlines the plan for the 21-day application eligibility period in Michigan for the Path Week 3 Assignment.

This document outlines the plan for the first week of the Path program and explains the 21-day application eligibility period in Michigan.

This document outlines the plan for the second week of the PATH program in Michigan. It includes information about the 21-day application eligibility period.

This form is used for reporting a supplemental report of a fatal injury in the state of Michigan.

This form is used for healthcare providers in Michigan to report a claim and request payment for medical services rendered.

This form is used for submitting a request for mediation or hearing in Michigan.

This form is used for employers in Michigan to provide disclosure information.

This form is used for requesting a compliance hearing in the state of Michigan. It allows individuals to address any issues or disputes related to compliance with state laws or regulations.

This document is used for the carrier's response in Michigan workers' compensation cases.

This form is used for self-insured employers or group funds in Michigan to apply for authorization to use the FTS User Account for their servicing agent.

This form is used for applying for a FTS user account with the agencies of Michigan, such as Bom, Wdca, and Wdcac.

This form is used for applying for mediation or hearing in Michigan.

This document is used for carriers and self-insured employers in Michigan to apply for an FTS user account.