UPAMM Member Form QR Codes
UPAMM — AFT Local 5297

Member Form QR Codes

Print and post in break rooms, PA workrooms, and anywhere members gather. All forms are confidential.

🖨 Print all
⚡ Document Now

Staffing/Safety — Quick Report

Unsafe assignment or staffing? File during or right after your shift. 3 minutes. When in doubt — fill it out.

QR Code — Staffing/Safety Quick Report
Full Documentation

Staffing/Safety — Full Report

Complete documentation of an unsafe assignment. More detail, same protection as the quick form.

QR Code — Staffing/Safety Full Report
Workload Review

WLR Intake

Unsustainable workload? Start the Workload Review process with your steward.

QR Code — WLR Intake
Grievance / Intake

Member Intake

Workplace issue, discipline concern, or contract violation? Start here — your steward will follow up.

QR Code — Member Intake

Printable Poster

Post this all-in-one version in break rooms and PA workrooms.
UPAMM Member Resources
United Physician Assistants of Michigan Medicine — AFT Local 5297
Standing Together, Caring for All
Staffing/Safety Quick
⚡ Document Now

Staffing/Safety — Quick Report

Unsafe assignment or staffing? Let your manager know if you can, then scan and file. 3 minutes. Your steward receives the report and follows up.

Staffing/Safety Full
Full Documentation

Staffing/Safety — Full Report

Complete documentation with staffing details, working conditions, and patient care impact. Same protection as the quick form.

WLR
Workload Review

WLR Intake

Unsustainable panel size, admin burden, or lack of support staff? Start the Workload Review process with your steward.

Member Intake
Grievance / Intake

Member Intake

Workplace issue, discipline concern, or contract violation? Submit here — your steward will follow up within 1–2 business days.

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