Health Insurance

 MEDCO  by Mail Order Form

Benefits Card - Request For Reimbursement
(If you need another form please contact Danielle Templeton or Amy Swantek)

TASC Pay Provider Direct Form

TASC and Set-Seg Contact Information

TASC HRA account plan description

TASC HIPPA Notice

TASC Online Access

403b

Imlay City Community Schools 403b Plan Vendors

Tax Sheltered Annuity or Custodial Account Purchase Agreement Form

Employee Self Service

Imlay City Employee Self Service
Need Help: Tutorial

Finance Office Forms

Employee Change Notice Form

Direct Deposit Request Form

Mileage Reimbursement Form

Requisition Form

Mini-Grant Policy and Procedures

Employee Injury Report Forms

Accounting and Cash Control Guidelines

W-4 Form

MI-W4 Form

City of Lapeer MI-W4 Form

Request for Fund Raiser

Office Staff Only

Check Request Form

Petty Cash Reimbursement Form

 

 Click on the form needed, print the form, sign and return the
  form to the Administrative Offices.