Employee Waiver- IRS

Current/former employees:
Below is a waiver which would allow Clare Public Schools to request a refund for Social Security & Medicare taxes deducted from your payroll during the 2016-2018 calendar years on employee contributions to the retiree health care costs for MPSERs. Should you sign this waiver, you are allowing CPS to request the refund for you, and to distribute the refund to you should the courts determine those costs were NOT taxable (still active in the court system, no ruling either way as of today).
If you choose to have the district claim these refunds for you, you need to sign this waiver and return it to the business office no later than 3:30 p.m. on Tuesday, March 31, 2020. Forms will not be accepted after this time.

You can return the waiver to the business office by the following methods:

- Email to jbrutyn@clare.k12.mi.us - you will receive an email confirmation if your waiver is received via email

- Fax to 989-386-6055

- Mail or drop off to 201 E. State St. in Clare, MI during regular business hours - Monday through Friday 8:30 a.m. to 3:30 p.m.

DUE TO THE MANDATED CLOSURE OF ALL K-12 SCHOOLS, PLEASE SEE UPDATED HOURS IN ANNOUNCEMENT ABOVE

Former employees: this waiver and FAQ sheet was sent to your last known mailing address - if it is not received, please print the waiver and return to the business office by the deadline per the instructions above.
WAIVER
FAQ Sheet