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
Complete, print, and sign this form any time you need to make an address change.
Authorization for release of information
Complete this for any information protected by HIPAA. This includes any pension verification letters.
Beneficiary designation - The Hartford
Select or change the beneficiary of the retiree's life insurance policy.
Direct deposit application
DROP funds beneficiary
To be completed by members of the DROP to change the beneficiary of their DROP funds.
Complete, print, and sign this form any time you need to make a name change.