New Employee at Eaton RESA

Welcome to the Eaton Regional Education Service Agency. You will need to schedule an appointment with payroll and human resources to complete new hire forms on or before your first day with us.

Click on the following links to access the key new hire forms and benefit information. If you have questions about which forms apply to you, please contact HR for more information.

For current employees of Eaton RESA, visit External LinkHuman Resources on Staff Access

Background Checks

PDF DocumentLive Scan Fingerprint Request (If new hire to an educational institution)
PDF DocumentFingerprint Disclosure (If requesting transfer of fingerprint information from prior District)
PDF DocumentDisclosure of Unprofessional Conduct Request & Consent 
PDF DocumentMDHHS Central Registry Clearance Request (GSRP Only)

Tax & Payroll

PDF DocumentI-9 Employment Eligibility
PDF DocumentW-4 Tax Withholding (Federal)
PDF DocumentW-4 Tax Withholding (Michigan)
PDF DocumentW-4 Tax Withholding (Lansing, if applicable)
PDF DocumentDirect Deposit
PDF DocumentState of Michigan New Hire Reporting

Retirement

PDF DocumentORS - New Hire Retirement Plan Election (If new hire to MPSER)
PDF DocumentORS - Beneficiary Nomination (If new hire to MPSER)
PDF DocumentORS - Tax Deferred Payment Agreement Addendum (If have TDP from prior MPSER employer)

District Policy & Procedure

PDF DocumentEmergency Contact Information
PDF DocumentAcceptable Use Acknowledgement
PDF DocumentAnti-Harassment Policy Acknowledgement
PDF DocumentHepatitis B Vaccination Request/Waiver
PDF DocumentEquipment Retention & Return Acknowledgement

Certification/Waiver

PDF DocumentWaiver of Health Insurance
PDF DocumentDecline Premium Conversion Benefit

Enrollment Forms

PDF DocumentADN Dental
PDF DocumentEyeMed
PDF DocumentMETLIFE
PDF DocumentBASIC Flex FSA
PDF DocumentHSA Payroll Deduction
PDF DocumentMESSA 

Insurance Plan Information

PDF DocumentABC plan highlights and the ACA required documents
PDF DocumentMESSA Saver Rx Card information
PDF DocumentChoices Plan Highlights – All Groups Except ESPA
PDF DocumentA.D.N. Dental Highlights – All Groups Except ESPA
PDF DocumentEyeMed Vision Highlights – All Groups Except ESPA
PDF DocumentMETLIFE LTD – All Groups Except ESPA
PDF DocumentChoices Plan Highlights –ESPA Only
PDF DocumentDelta Dental Highlights – ESPA Only
PDF DocumentVSP2 Vision Highlights – ESPA Only
PDF DocumentMESSA Life & LTD –ESPA Only

Other Benefit Information

F.S.A. information (PDF DocumentBrochure)
H.S.A. information (PDF DocumentPamphlet / PDF DocumentBrochure)

Links to Benefit Sites

External LinkMESSA website
External LinkA.D.N. Dental website
External LinkEyeMed website
External LinkMetlink website
External LinkMRI Consortium website

Please return the completed forms via mail, fax, or scan/email to John Van Hoesen, Human Resources:

Eaton RESA
Attn: Human Resources
1790 East Packard Highway
Charlotte, MI 48813

517.541.8712
517.543.6633 (Fax)