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Complaint Form

This form is for Lansing Community College employees who have or are experiencing various types of problems with their Tax Sheltered Annuity [403(b)]. The problems may be with the account itself, the investment companies and/or their agents, or simply with opening an account.

Please open the form, fill it out, and print it. If you are on LCC campus send it to by courier to Mail Code 7110, attention Payroll. Otherwise you can send it our mailing address:

Payroll and Financial Reporting
Lansing Community College
PO Box 40010
Lansing, MI

PDF file TSA Complaint Form

Human Resources
Administration Bldg, Room 103
Phone: (517) 483-1870
Additional contact information »