AFSCME Local 1067 - Forms


All forms are in Adobe Acrobat format (.pdf) which requires the free Acrobat reader, available at

Appendix A - H

Appendix A - Request for Substitution of Sick Leave

Appendix B - Request for Extension of Sick Leave

Appendix C - Schedule of Weekly Salary Rates

Appendix D - Temporary Work Assignment Request and Approval Form

Appendix E - Request to Appeal Classification of Position

Appendix F - Certificate of Eligibility for Statewide Remission for Higher Education Employees

Appendix G - Performance Evaluation for Classified Employees

Appendix H - Grievance Form

Appendix H - Interactive Grievance Form

Insurance Forms - Aflac & Liberty Mutual

Accident Plan Claim

Aflac Claims Process

Cancer Claim

Cancer Wellness Claim Form

Disability Claim Illness Maternity

Disability Claim Injury


AFSCME Statement of Expenses

Interactive AFSCME Statement of Expenses

AFSCME Members Bill of Rights

Educational Assistance Application Instructions and Form 2017

Transfer of Materials from former Chief Steward to Newly Elected Chief Steward

Weingarten Rights - Please Invoke if Necessary

Reallocation Forms

New from the BHE -
Classification Specifications - Job Specs

Reallocation Packet

Form 30

Appeal Cover Letter