Employee Forms

Many of the forms used by the college are now available for viewing or printing.  Click on the links below to access internal and external forms used by the college or to access to other sites that may be of interest.

Americans with Disabilities Act (ADA) Forms

• Accommodation Form

• Reasonable Accommodation Procedure (.pdf)

• Reasonable Accommodation Request (Doctor's Statement)

Employee Benefit Forms

• Assurecare Dental Claim (Group Number 324)
• Benefit Consulting Group
•   Request for Reimbursement Form-BCG
•   Authorization Agreement for Auto Deposit-BCG
• Domestic Partner Dependent
• Domestic Partnership Affidavit
• Family Medical Leave Act Certification of Health Care Provider .pdf
• Family Medical Leave Act Request Form
• Flexible Compensation Plan
• HAN Vision Claim
• Life Insurance Beneficiary Form
• MPSERS Beneficiary Nomination
• MPSERS Refund Form
• MPSERS Sabbatical Leave Credit Form
• Tuition Waiver - Retiree (PDF)
• Sabbatical Leave Packet
• Salary Reduction Agreement (403b)
• Voluntary Salary Deferral Agreement (457b)

HR Entry Specialist Forms

• HR Action Form (Banner)
• Termination Form (Banner)
• Request for Proxy Approver (Banner)
• Time Entry Tip Sheet (Banner)
• New/Rehire Checklist (Part-time)
• New Hire Checklist (Student)
• Personnel Information Update
• Employment Eligibility Verification (I-9)
• Faculty Credential Verification
• Faculty Starting Rate Assignment (Part-time)
• Lab Tech & ILF Starting Rate Assignment (Part-time)
• Must include Official Transcripts (if position requires a degree)
• System Requirements (New Hires) (.pdf)
• Training Verification
• Federal Tax Withholding (W-4)
• State Tax Withholding (MI-W4)
• City Tax Withholding (LW-4)
• MPSERS Beneficiary Nomination

Miscellaneous Employee Forms

• Additional Responsibility Dollars Request Form
• Admin and Support Levels and Steps
• Consent for letter of recommendation
• Degree Recognition Request Form
• Parking Opt Out Form
• Professional Development Leave Request (Full-time Administrators/LCCAA)
• Reclassification Request (Full and Part-time Administrators and Full-time Support Staff)
• Sample letter of recommendation
• Sick Leave Bank Request
• Sick Leave Bank Donation Request
• Staff Development Plan Form
• Staff Development Process
• Staff Development Action Plan

Position Requests

• Position Approval Packet

• New Position Request Form

• Position Replacement Request Form

Freedom of Information Act Information Fees