Documents Library

New Hire Forms

• Seasonal & Part-Time Employees
• Full-Time Employees

Frequently Requested Forms

• Request for Leave
• Vacation Carryover
• Biweekly Timesheet
• Expense Report
• Workers Compensation First Report Form
• 2023 HR Payroll Calendar

OBRA Forms

• Town OBRA Acknowledgement Card
• County OBRA Acknowledgement Card
• OBRA Withdrawal Form

Benefits Forms

• BENEFITS PLAN SUMMARY 
• BENEFICIARIES Change Forms
• BCBS Enrollment Form
• BCBS PPO Plan Summary
• BCBS HMO Plan Summary
• BCBS MM Plan Summary
• BCBS rate sheet
• Altus Dental Enrollment Form
• Altus Dental High plan Summary
• Altus Dental Low plan Summary
• Altus Dental Claim Form with instructions
• Altus Dental rate sheet
• Boston Mutual Enrollment Form. 
• Boston Mutual Basic & Voluntary Life. rate sheet.
• Colonial Life contact Card and plan Highlights
• Life Plus. Allstate plan Highlights
• TASC Enrollment Form
• TASC FSA Eligible expenses
• TASC DCA Eligible expenses
• TASC Commuter participant Benefits (Transit)
• Nationwide 457B Deferred plan Highlights
• Great West (SMART) Deferred plan Highlights

Wellness

• BCBS Mind Body Reimbursement Fact Sheet and Request Form
• BCBS Fitness Reimbursement Fact Sheet and Request Form

Family and Medical Leave Forms

• FMLA Certification of Health Care Provider For Employee
• FMLA Certification of Health Care Provider for Family Member
• FMLA Designation Notice
• FMLA Notice of Eligibility and Rights

Conflict of Interest & Disclosure Forms

• Conflict of Interest Certification Instructions
• Disclosure of Appearance of Undue Favor or Improper Influence required by section 23b3
• Disclosure of Municipal Employees Financial Interest required by section 19
• Summary of the Conflict of Interest Law

Other Forms

• Auto Mileage Log
• Driver Inspection Form
• IRS Mileage 2020
• Request for Legal Services
• Request for Out-of-State Travel
• Vendor Maintenance Request Form

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