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Forms

Home » Fiscal Intermediary » Forms

Employer of Record Forms:

All forms listed below are required in order to participate in the Employee of Record program:

Background Check Release Form (PDF)

Child Waiver Employment Agreement (PDF)

CLS/EOR Time Sheet (PDF)

DHS Clearance Form (to be filled out by employees who provide services for consumers under the age of 18 only) (PDF)

Direct Deposit (PDF)

Employer of Record Agreement (PDF)

Employer of Record Fax Cover Sheet (PDF)

Fiscal Intermediary authorized signatures (PDF)

W-4 (PDF)

Michigan W-4 (PDF)

MORC Community Living Supports Log (PDF)

Registration Instructions for Training Classes at MORC, Inc. (PDF)

W-9 (PDF)


Additional Forms:

2012-2013 Payroll Pay Period Schedule (PDF)

Child Waiver Program Voucher (PDF)

Mileage Log (PDF)

Purchase of Services Agreement (PDF)

Respite Only Forms:

All forms listed below are required in order to participate in the Respite Only program:

Affidavit (PDF)

Background Check Release Form (PDF)

DHS Clearance Form (to be filled out by employees who provide services for consumers under the age of 18 only) (PDF)

Direct Deposit (PDF)

Respite Invoice (PDF)

Respite Provider Agreement (PDF)

W-9 (PDF)


Latest News & Headlines

  • 2013 Annual Meeting & Board of Directors Election
  • 2013 Dove Award Nomination Form
  • Education Legislation Letter
  • Sibshops
  • The Arc Reacts to the U.S. Supreme Court’s Decision on the Affordable Care Act

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The Arc of Oakland County | 1641 West Big Beaver Road | Troy, MI 48084 | Phone: 248.816.1900 | Fax: 248.816.1906 | Email: info@thearcoakland.org

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