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
Email: retirement@macombgov.org
Address change
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.
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.