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Regional Transportation Collaborative Employees
To complete your employment documents, please click on each of the documents one by one.  Please fill out each form and print them. If you have questions regarding any of these forms please contact Kim Calderon.
 
Phone: (517) 540-6822
Fax: (517) 546-7047
 
Please mail your documents to:
Kim Calderon
Livingston Educational Service Agency
1425 W. Grand River Avenue
Howell, MI 48843
 
 
Employee Forms
In order to view the employee forms you must have Adobe Reader installed on your computer.  If you do not have Adobe Reader please click here to download the latest free version.
 
Required Forms
  1. AlertNow Form - This form is for our automatic call-out system.
  2. Personnel Data Sheet/Emergency Information- This form is for emergency use only.
  3. Employee Technology Information Form - This form is for an LESA e-mail account.
  4. Staff Network & Internet Acceptable Use & Safety Agreement- This form summarizes our policy on technology use.  You must sign this before an e-mail account will be issued.
  5. I-9 - This form is for federal employment eligibility.  Complete Section 1 ONLY.
  6. MI W4- This form is for state withholding tax purposes.
  7. W-4 2010- This form is for federal withholding tax purposes. Complete bottom section only. 
Optional Forms
  1. 403 (b) - Salary Reduction Agreement - This is an optional payroll deduction form in order to obtain a tax-sheltered annuity.
  2. LESA Direct Deposit Form (voided check or copy of voided check required - Deposit slips are not accepted) -  If you choose direct deposit, please note that your full check will automatically be deposited into the banking institution or credit union of your choice and your payment vouchers are available online.
 
Office of Retirement Services (ORS)
  • You can name or change your beneficiary (for retirement) on-line as follows:
1.  Retrieve your account number from your annual ORS statement or by contacting ORS at
     (800) 381-5111. New school employees should receive an account number from ORS.
3.  Click on the MIaccount button
4.  Access & update personalized account information
 
OR
 
 
 
 
 
Last Modified on May 13, 2010