Employee Portal Benefits BS&A Employee Self Service CBAs & Pay Scales Email Forms Job Descriptions Retirement Forms Below are forms for employee use. Please complete and submit to HR or Finance. Please feel free to email to Amanda Burnett. Injury Blood & Bodily Fluid Exposure Worksheet Injury Flow Chart Injury Report Form Payroll 457 Enrollment & Change Form Credit Card Authorization Form Direct Deposit Change Form Federal W-4 HSA Contribution Change Form IRA Contribution Change Form MI W-4 Time Off Request Form Overtime Request Form FSA FSA Mandatory Statement for Dependent Care Retirement 457 Enrollment & Change Form IRA Application IRA Contribution Change Form Visit mersofmich.com to apply for retirement FMLA FMLA Cert For Family Member Serious Health Condition FMLA Cert for Employee Serious Health Condition How to File Your Disability Claims Tuition Reimbursement Form 1: Submit Prior to Course Starting Form 2: Submit After Grades Received
