Change of Status

Please use these forms whenever there is a change of status with you or your caregiver.  Examples include pay rate, termination of caregiver, inactive or standby caregiver, address, email, and tax changesAny name changes must accompany a Social Security card with the name change. All tax changes must include a new W4.

Change of Status PDF

W-4 (2019) PDF

MI-W4 PDF

Direct Deposit PDF

Direct Deposit CANCELLATION PDF