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Employee forms

Forms and information for employees

Employee forms and information

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A list of the most frequently requested forms is below. Click on the link to open the PDF. If you need a form that is not listed, or have questions about filling out a form, please contact us at 586-469-5280.

Address/Phone number change form - Please complete in Workday

Authorization to release information - please contact Human Resources and Labor Relations at 586-469-5280 or human.resources@macombgov.org

Bloodborne pathogen exposure packet

Concentra Medical Center authorization for treatment and billing

Concentra Telemed authorization for treatment and billing

Concentra - Detroit locations

Concentra - Macomb County locations

Important Information regarding hours of operation at Concentra's Fraser location

Corrective action form

COVID-19 exposure notification form (Health Department and Community Mental Health Only)

Direct Deposit Change - Please complete this task in Workday

Emergency contact form - Please complete this task in Workday

Employee incident form

Employee incident witness form

Leave of Absence Forms are available on the Leaves of Absence Page.

Name change request - Please complete this task in Workday

Nepotism review request

Onboarding checklist

Pregnancy Accommodation Request Form

Privacy notice

Reasonable Accommodation Requests are not available online. Please contact Human Resources and Labor Relations for more information.

Reasonable suspicion checklist

Request for retirement estimate - Please contact Retirement Services at 586-469-5113 or retirement@macombgov.org

Tax Withholdings - Please complete this task in Workday