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Michigan County Road Commission Self-insurance Pool
(800) 842-4971
417 Seymour Ave., Suite 2, Lansing, MI 48933
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Media Category: Forms

Customizable Instructions for Sewage Disposal System Events

Customizable Word document. Enter your RC information where indicated, then print/save as PDF and send with Third-Party Claim Form and MCL 691.1404 statute below.

Sewage Disposal System Event Notice Form

Customizable Word document. Enter your RC information where indicated, then print/save as PDF.

Instructions on how to use the documents below

Credit Report Authorization Form

Employee Data Privacy Policy

Employee Data Privacy Policy

Employment Verification Request

Background Check Request Form

Instructions on how to use the above documents.

MCRSIP Background Check Instructions

Education Verification Request

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Michigan County Road Commission Self-Insurance Pool

(800) 842-4971

417 Seymour Ave., Suite 2, Lansing, MI 48933

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