GET HELP · FILE A REPORT

We're here to support you

Use the forms below to document staffing and safety concerns, report workload issues, or start a grievance intake with your steward. All submissions are confidential.

WHERE TO START

What do you need today?

My staffing or assignment right now feels unsafe

Something unsafe happened...

My workload is unsustainable...

I have a grievance...

All form responses are confidential and shared only with your UPAMM steward. Management does not have access to these forms.

Staffing & Safety Forms | Filing is Protected

Staffing / Safety Concern

If your assignment or staffing feels unsafe, document it immediately. Filing is protected — management may not retaliate against you for reporting a concern.

How to Document a Safety or Staffing Concern:

If safe to do so, let your manager know that you have a concern about your assignment or staffing. This can be brief — you do not need to argue the point.
Complete the form as soon as possible — same shift or same day is best. Use the Quick form for speed. Use the Full form when you have time to provide more detail. You can do both.
Your steward receives the report and will follow up. Your documentation helps UPAMM identify patterns and build the case for safer staffing conditions.

Workload & Grievance

Additional Member Forms

WLR Intake

If your workload is unsustainable, unsafe, or violates collective bargaining agreements, complete this form with your steward to initiate the official Workload Review process.

Member Intake

Have a workplace issue, discipline concern, or contract violation? Start here to submit an official inquiry directly to your union steward and grievance committee representatives.

Questions? We're here.

Have a question about your contract, workplace rights, or looking to get involved? Reach out to your department stewards or leadership team anytime. We are stronger together.

Get Help / File a Report — UPAMM AFT Local 5297

Get Help / File a Report

AFT Local 5297 — United Physician Assistants of Michigan Medicine

✉ upamm@upamm.org

GET HELP · FILE A REPORT

We're here to support you

Use the forms below to document staffing and safety concerns, report workload issues, or start a grievance intake with your steward. All submissions are confidential.

Where to start

What do you need today?

"My staffing or assignment right now feels unsafe."

↓

File a Staffing/Safety Concern — Quick form below. Takes 3 minutes.

"Something unsafe happened and I need to document it fully."

↓

Staffing/Safety Full Report — more detail, same protection.

"My workload is unsustainable. I need a WLR."

↓

WLR Intake form — complete with your steward.

"I have a grievance or other issue to report."

↓

Member Intake — your steward will follow up.

🔒

All form responses are confidential and shared only with your UPAMM steward. Management does not have access to these forms.

Document staffing and safety concerns

Staffing & Safety Forms

Filing is Protected

Staffing / Safety Concern

If your assignment or staffing feels unsafe, document it. Your report goes directly to your steward and builds the record UPAMM uses to advocate for safer conditions. Filing is protected — management may not retaliate against you for reporting a concern.

⚡ Quick Report — 3 min 📋 Full Report

If safe to do so, let your manager know that you have a concern about your assignment or staffing. This can be brief — you do not need to argue the point.

Complete the form as soon as possible — same shift or same day is best. Use the Quick form for speed. Use the Full form when you have time to provide more detail. You can do both.

Your steward receives the report and will follow up. Your documentation helps UPAMM identify patterns and build the case for safer staffing conditions.

Workload & Grievance

Additional Member Forms

📊

Workload Review

WLR Intake

If your workload is unsustainable — patient panel size, admin burden, documentation time, or lack of support staff — complete this form with your steward to start the Workload Review process.

Start WLR Intake →

📝

Grievance

Member Intake

Have a workplace issue, discipline concern, or contract violation? Start here. Your steward will review your submission and follow up to discuss next steps. All information is confidential.

Start Member Intake →

Questions? We're here.

Not sure which form to use? Have a question before you submit? Reach out to your UPAMM steward directly. All communications are confidential.

✉ upamm@upamm.org

Response within 1–2 business days · Chief Steward: Alexandra Tiefel, PA-C