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 - 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 - Macomb County locations
Important Information regarding hours of operation at Concentra's Fraser location
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
Pregnancy Accommodation Request Form
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