Form WC-117H - State of Michigan 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Employee ID, First Name, Last Name, and MI in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in your Address, City, State, Zip Code, and County. This section helps establish your contact details for official correspondence.
4. Next, specify your Department and Pay Rate. Indicate the start and end dates of your appointment using the format (M-D-Y).
5. List Course Information by filling out Org, Account, Total # Credit Hours, Program, Total Salary, and % of Position Salary. Include details for each course you are teaching.
6. Complete the Experience section by detailing your years of higher education experience and any related experience.
7. Review all entries for accuracy before saving the completed form to your drive/network folder.

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