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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 are not permitted. Forms that are not signed will not be processed.

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Please note that address, tax, bank, and name changes can be done through Workday. Click on the link below to go to our web page for the first-time login instructions, pay user guide, and the Workday link to the login page.

Retiree Workday
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

Email: retirement@macombgov.org


Address change

Complete, print, and sign this form whenever you need to change an address or visit Workday.

Note that Workday can have an alternate address, so if you wish to list a summer and winter address, sign in to Workday to add the address and indicate the current address by selecting it as the "Primary" address when traveling back and forth.

Workday

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, Retirement at 586-469-5113, or sign-in to Workday.

Workday


DROP funds beneficiary

This is 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 whenever you need to change your name or visit Workday.

Workday

Download Name Change form


Retiree tax forms

Tax withholdings can be updated via Workday or by completing and returning the corresponding form below.

Workday

Federal Tax
State Tax