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Macomb County retiree forms

Applicable forms for MCERS retirees including address changes and tax forms.

All forms must be signed, electronic signatures will not be permitted. Any forms that are not signed will not be processed.

Once the form has been completed return them via mail, fax, or email.

Macomb County Human Resources-Retirement

1 South Main St, 6th Floor

Mt. Clemens, MI 48054

Fax: 586-469-6798


Address change

Complete, print, and sign this form any time you need to make an address change.

Download Address Change form

Authorization for release of information

Complete this for any information protected by HIPAA. This includes any pension verification letters.

Download Release of Information form

Beneficiary designation - The Hartford

Select or change the beneficiary of the retiree's life insurance policy. 

Download Retiree Life Insurance Beneficiary form

Direct deposit application 

For security reasons, please call Human Resources and Labor Relations at 586-469-5280 or Retirement at 586-469-5113.

DROP funds beneficiary

To be completed by members of the DROP to change the beneficiary of their DROP funds.

Download DROP Funds Beneficiary form

Name change

Complete, print, and sign this form any time you need to make a name change.

Download Name Change form

Retiree tax forms

Federal Tax
State Tax