Employee forms and information
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
Bloodborne pathogen exposure packet
Concentra Medical Center authorization for treatment and billing
Concentra Telemed authorization for treatment and billing
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 witness form
Leave of Absence Forms are available on the Leaves of Absence Page.
Name change request - Please complete this task in Workday
Reasonable Accommodation Requests are not available online. Please contact Human Resources and Labor Relations for more information.
Reasonable suspicion checklist
Recommendation to fill vacant position
Request for retirement estimate
Self-identification form (EEO)
Tax Withholdings - Please complete this task in Workday
Termination and equipment checklist form