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Payroll & Benefits
Payroll and Benefits administers all benefits, including pensions in addition to payroll.
Forms
All forms must be printed (hard copy), completed in full and returned directly to the Payroll and Benefits department.
Forms
All forms must be printed (hard copy), completed in full and returned directly to the Payroll and Benefits department.
- BCBS Master Medical Form (PDF)
Use this form if you have BCBS traditional or Preferred Provider (PPO) coverage which includes master medical reimbursement. - Flex Spending Claim Form (PDF)
- Fire Union Employees Change of Life Insurance Beneficiary
(PDF)
(Standard Insurance Company) - Flexible Spending (FSA) Health Care Eligible Expenses List (PDF)
Check this list to see if your expense is something you can turn into your Flexible Spending (FSA) account for reimbursement. The list has one page of Eligible Expenses and one page of Non Eligible Expenses. - Life Insurance Policy Beneficiary Change Form (PDF)
Consumers Life Insurance forms - MI-W4 (PDF)
Use this form to change your State tax withholding (the number of exemptions you want to claim on your pay check). - Retiree MI W4P (PDF)
Retirees use this form to change your State of Michigan tax withholding As of 1/1/2012 - Retiree W4P (PDF)
Retirees use this form to change your Federal tax withholding. - W4 (PDF)
Use this form to change your Federal tax withholding (Married or Single and the number of exemptions you want to claim on your pay check).