Financial

• Cash Receipt Deposit Slip Form

• Payment Request Form

• Reimbursement Form

• Refund Request 

• Student Cash Receipt Form

• Credit Card Summary of Purchases 

Payroll

• 2023-2024 Hourly Employee Payroll Schedule

• W-4 Federal Withholding

• MI-W4 Michigan Withholding

• LW-4 City of Lansing

• 457 Salary Reduction

• 403b Salary Reduction

• Hourly Staff Timesheet

• Instructional Staff Extra Duty Timesheet

 Health Insurance Forms

• Employee HSA Payroll Deduction Form

• Employee HSA Reimbursement Form

• Health Savings Account

• Rollover Request Form

• Beneficiary Designation Form 

• FSA/HRA Reimbursement Form with Instructions

• HSA Information

Human Resource Forms

• Employee FMLA

• Family Member FMLA

• Employee Leave Application

• Military Caregiver FMLA

• Military Leave FMLA

• Veteran Caregiver FMLA

• ACA Notice/Reporting Process

Employee HR Forms

• Personal Day Request Form

• Alternative Work Request Form

• Transfer Request Form/Change of Status 

• Set-Seg Employee Injury Report

• Set-Set Supervisor Injury Report

Vision and Dental 

• Dental Benefit Summary

• Vision Benefit Summary

MESSA

• Employees User Guide for MESSA

• MESSA Coverage Options

• Health Insurance Terms

• Choosing an In-Network Provider

• NurseLine Flyer

• Omada Flyer

• Online Care Flyer

• Know Where to go Flyer

• Diabetes Flyer 

• Protect Yourself Flyer