Michigan Department of Labor and Economic Opportunity Forms
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Form MIOSHA-301 "Injury and Illness Incident Report" - Michigan
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Form CSCL/PEO-010 "Professional Employer Organization License Application" - Michigan
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Form MIOSHA-STD-1000 "Miosha Standards Order Form" - Michigan
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Form UIA1711 "Unemployment Compensation Notice to Employee" - Michigan
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Form UIA1027 "Business Transferor's Notice to Transferee of Unemployment Tax Liability and Rate" - Michigan
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Form UIA6468 "Michigan Community College Request Form for Unemployment Insurance Data" - Michigan
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Form UIA6467 "Michigan Community College Request Form for Unemployment Insurance Data - Ssn" - Michigan
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Form UIA1299 "Waiver for Accommodation Assistance" - Michigan
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Form UIA1583 "Record of Work Search" - Michigan
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Form UIA1772 "Notice of Change" - Michigan
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30 votes
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Form UIA6102 "Authorization to Release Confidential Information" - Michigan
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Form UIA1222 "Notice to Register for Work" - Michigan
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Form UIA6324 "Certifications by Professional Employer Organization (Peo) Regarding Payment of Wages to Leased Employees" - Michigan
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Form UIA1045 "Status Questionnaire for Employee Leasing Companies (Elc)" - Michigan
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"Checklist Mshda Programs" - Michigan
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"Miosha Advisory Committee Application Form" - Michigan
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"Notice of Alleged Safety or Health Hazards" - Michigan
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"Notice of Public School Employer Lockout" - Michigan
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"Mcti Covid-19 Student Agreement" - Michigan
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![Form MIOSHA-301 "Injury and Illness Incident Report" - Michigan](https://data.templateroller.com/pdf_docs_html/2075/20757/2075705/form-miosha-301-injury-and-illness-incident-report-michigan.png "Form MIOSHA-301 "Injury and Illness Incident Report" - Michigan")
![Form CSCL/PEO-010 "Professional Employer Organization License Application" - Michigan](https://data.templateroller.com/pdf_docs_html/2064/20649/2064947/form-cscl-peo-010-professional-employer-organization-license-application-michigan.png "Form CSCL/PEO-010 "Professional Employer Organization License Application" - Michigan")
![Form MIOSHA-STD-1000 "Miosha Standards Order Form" - Michigan](https://data.templateroller.com/pdf_docs_html/2078/20788/2078820/form-miosha-std-1000-miosha-standards-order-form-michigan.png "Form MIOSHA-STD-1000 "Miosha Standards Order Form" - Michigan")
![Form UIA1711 "Unemployment Compensation Notice to Employee" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141830/form-uia1711-unemployment-compensation-notice-to-employee-michigan.png "Form UIA1711 "Unemployment Compensation Notice to Employee" - Michigan")
![Form UIA1027 "Business Transferor's Notice to Transferee of Unemployment Tax Liability and Rate" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141837/form-uia1027-business-transferor-s-notice-to-transferee-of-unemployment-tax-liability-and-rate-michigan.png "Form UIA1027 "Business Transferor's Notice to Transferee of Unemployment Tax Liability and Rate" - Michigan")
![Form UIA6468 "Michigan Community College Request Form for Unemployment Insurance Data" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141841/form-uia6468-michigan-community-college-request-form-for-unemployment-insurance-data-michigan.png "Form UIA6468 "Michigan Community College Request Form for Unemployment Insurance Data" - Michigan")
![Form UIA6467 "Michigan Community College Request Form for Unemployment Insurance Data - Ssn" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141840/form-uia6467-michigan-community-college-request-form-for-unemployment-insurance-data-ssn-michigan.png "Form UIA6467 "Michigan Community College Request Form for Unemployment Insurance Data - Ssn" - Michigan")
![Form UIA1299 "Waiver for Accommodation Assistance" - Michigan](https://data.templateroller.com/pdf_docs_html/2049/20497/2049751/form-uia1299-waiver-for-accommodation-assistance-michigan.png "Form UIA1299 "Waiver for Accommodation Assistance" - Michigan")
![Form UIA1583 "Record of Work Search" - Michigan](https://data.templateroller.com/pdf_docs_html/2049/20497/2049752/form-uia1583-record-of-work-search-michigan.png "Form UIA1583 "Record of Work Search" - Michigan")
![Form UIA1772 "Notice of Change" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141831/form-uia1772-notice-of-change-michigan.png "Form UIA1772 "Notice of Change" - Michigan")
![Form UIA6102 "Authorization to Release Confidential Information" - Michigan](https://data.templateroller.com/pdf_docs_html/2049/20497/2049753/form-uia6102-authorization-to-release-confidential-information-michigan.png "Form UIA6102 "Authorization to Release Confidential Information" - Michigan")
![Form UIA1222 "Notice to Register for Work" - Michigan](https://data.templateroller.com/pdf_docs_html/2049/20497/2049750/form-uia1222-notice-to-register-for-work-michigan.png "Form UIA1222 "Notice to Register for Work" - Michigan")
![Form UIA6324 "Certifications by Professional Employer Organization (Peo) Regarding Payment of Wages to Leased Employees" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141833/form-uia6324-certifications-by-professional-employer-organization-peo-regarding-payment-of-wages-to-leased-employees-michigan.png "Form UIA6324 "Certifications by Professional Employer Organization (Peo) Regarding Payment of Wages to Leased Employees" - Michigan")
![Form UIA1045 "Status Questionnaire for Employee Leasing Companies (Elc)" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141829/form-uia1045-status-questionnaire-for-employee-leasing-companies-elc-michigan.png "Form UIA1045 "Status Questionnaire for Employee Leasing Companies (Elc)" - Michigan")
!["Checklist Mshda Programs" - Michigan](https://data.templateroller.com/pdf_docs_html/2075/20757/2075752/checklist-mshda-programs-michigan.png ""Checklist Mshda Programs" - Michigan")
!["Miosha Advisory Committee Application Form" - Michigan](https://data.templateroller.com/pdf_docs_html/1820/18206/1820650/miosha-advisory-committee-application-form-michigan.png ""Miosha Advisory Committee Application Form" - Michigan")
!["Notice of Alleged Safety or Health Hazards" - Michigan](https://data.templateroller.com/pdf_docs_html/2078/20783/2078365/notice-of-alleged-safety-or-health-hazards-michigan.png ""Notice of Alleged Safety or Health Hazards" - Michigan")
!["Notice of Public School Employer Lockout" - Michigan](https://data.templateroller.com/pdf_docs_html/1820/18201/1820123/notice-of-public-school-employer-lockout-michigan.png ""Notice of Public School Employer Lockout" - Michigan")
!["Mcti Covid-19 Student Agreement" - Michigan](https://data.templateroller.com/pdf_docs_html/2141/21418/2141836/mcti-covid-19-student-agreement-michigan.png ""Mcti Covid-19 Student Agreement" - Michigan")
