Get How To File A Complaint With Miosha - State Of Michigan

Filing a complaint with the Michigan Occupational Safety and Health Administration (MIOSHA) can be a crucial step in addressing workplace discrimination. This guide provides step-by-step instructions on how to complete the online form effectively and ensure that your concerns are communicated clearly.

Follow the steps to successfully complete your MIOSHA complaint form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in your name and contact information in the 'Complainant' section, including your date of hire, address, city, state, zip code, and telephone number. Ensure accuracy to provide reliable contact details.
3. Indicate your present employment status. You will have options such as 'Still Employed,' 'Laid Off,' 'Discharged,' or 'Suspended.' Please choose the one that applies to you.
4. Provide the name of your employer and their contact information, including address and telephone number. Additionally, indicate the county and the number of employees at your workplace.
5. Input the average hours you work each week and your rate of pay. This information helps MIOSHA understand your employment context.
6. Specify your job title and department, along with your supervisor or contact person within the organization.
7. Answer whether you have filed a grievance or a prior complaint regarding safety or health issues. If so, include specific dates as applicable.
8. Describe the date and time when discrimination occurred, and explain your reasons for believing that discrimination took place.
9. Note if you verbally complained of any unsafe or unhealthy conditions to your employer, providing details on whom you spoke to, when, and the results of your complaint.
10. Indicate whether your name was revealed to your employer during this process. This helps maintain confidentiality where necessary.
11. Prepare a summary of events related to your complaint, and include any additional sheets if necessary for more detailed information.
12. Once all sections are completed, review your form for accuracy. You can then save your changes, download it for your records, print a copy, or share it as needed.

Take action today by completing your MIOSHA complaint form online and ensure your concerns are addressed.