The forms below are intended for use by employers. To make sure you always have the most current form, please print only enough for your immediate needs.
Please do not photocopy and stock ORS forms.
Reporting Forms and Worksheets
Request for Adjusting DTL4 Records Prior to October 2015 (R3490C)
Complete this form if you are adjusting a Detail 4 record with a pay period reported before October 2015.
Request for Adjusting Records Prior to October 1, 2002 (R3489C)
Complete this form if you are adjusting a Detail 2 record with a pay period reported before October 1, 2002.
Correcting Common Mistakes on DTL4 (R0916C)
Helpful tips for correcting Detail 4 (DTL4) records.
Employer Statement Reconciliation Worksheet (R0800C)
A worksheet to use when reconciling the monthly employer statement.
Reconciling the Employer Statement (R0799C)
Helpful directions on how to reconcile the monthly employer statement.
Health Care Contribution Adjustments Spreadsheet
A spreadsheet template and instructions you may use to adjust the retirement reporting records for earned wages not subject to the ORS Retiree Health Care Contribution amount for the 2010 and 2011 fiscal year percentage changes.
Tax-Deferred Payment (TDP) Forms
New Hire Retirement Plan Election
To order copies of the New Hire Retirement Plan Election brochure (including the plan election from R0940C), please use the Online Publication Order Form.
UAAL Remittance Advice for Universities (R0411C)
If your reporting unit is a university, use this form to calculate and record payments remitted for UAAL contributions that universities owe on non-member/non-ORP employees. The form calculates required payment amounts using UAAL rates that change each fiscal year, so be sure to use the form for the current fiscal year.
Payroll Calendar Submission and Change Request (R1073C)
Use this form to submit changes to your reporting unit's payroll calendar. If you are a new reporting unit this form will need to be submitted to ORS before reporting can begin. Important Note: Adjustments to your payroll calendar will result in changes to your report and payment due dates. Calendar changes will not be accepted in the event a pay period end date falls on a holiday or weekend.
Retiree Employment Certification (R0851C)
If your reporting unit is a charter school or public school academy that currently does not report to ORS, use this form to advise ORS that your school has a retiree of Michigan Public School Employees Retirement System if the retiree was hired through a third party contractor or as an independent contractor; retired on or after July 1, 2010; and performs a core service, as defined by ORS. For more information, see Charter Schools and Public School Academies. (Reporting units that currently report to ORS do not need this form and should report retirees who returned to work using the appropriate codes as instructed in the Reporting Instruction Manual, Chapter 7.)
New Employer Information (R0910C)
Use this form to submit required information to ORS about your new reporting unit.
Reporting Unit Status Change: Closing, Inactive, or Annexing (R1048C)
Use this fillable form to notify ORS that your reporting unit will no longer be reporting to ORS because you are either closing, going to inactive status, or annexing with another reporting unit. Submit this form at least 30 days in advance of your change of status. ORS will work with your reporting unit to properly close out your account so that you can avoid late fees and interest charges.
Web Administrator Authorization (R0687C)
Use this form to apply for authorization as a new web administrator for a reporting unit. Please note that this form must be signed by the superintendent.
Payment Processor Authorization (R0842C)
Use this form to apply for authorization as a new payment processor for a reporting unit. Please note that this form must be signed by the superintendent.
Member Contribution Resolution (R0449C)
The school board must sign this resolution stating that the reporting unit will pick-up member contributions. Please note that this form must be signed by the board secretary.
Redeposit, TDP, and MIP Buy-Back Payroll Resolution (R0414C)
The school board must sign this resolution that permits the reporting unit to pick-up the employee portion of contributions resulting in the tax deferral of employee contributions. This is for purposes of pre-tax payment of service credit purchases and MIP Buy-Back. Please note that this form must be signed by the board secretary.
IRS Form 2848 for MI ORS
This form is required to voluntarily participate in the closing agreement ORS coordinated with MPSERS to make payments on behalf of each Reporting Unit as an administrative expense at a reduced user fee.