Employee Forms & Documents

Related Documents

• COBRA Election Notice (PDF)
• Direct Deposit Authorization (PDF)
• Form W-4 (PDF)
• FAQs on the 2020 Form W-4
• Flexible Spending Plan (PDF)
• Internal Job Application Form (PDF)

If you will be out to care for a family member or for your own serious health condition, you may be eligible for job protection through the Family Medical Leave Act (FMLA) (PDF). Submit these forms to Human Resources to assist us in providing this benefit to you. All materials will be maintained confidentially.

Related Documents

• Family and Medical Leave Act (PDF) document provided by Upton
• Certification of Health Care Provider for Family Member’s Serious Health Condition (PDF)

Employees who are injured while on duty must notify their supervisor immediately and complete the appropriate injured while on duty forms. The forms must be forwarded to the Human Resources Department within 24 hours of the injury.

Workers' Compensation (Non-Public Safety Employees)

Worker's compensation benefits provide coverage for medical costs incurred when an employee has an on-the-job accident, resulting in personal injury. Additionally, worker's compensation provides weekly payments in lieu of wages to employees who have been out of work for more than five days due to an on-the-job injury. These tax-free payments are set at a percentage of the weekly pay for employees.

Related Documents

• Supervisor's Report of Accident Intake Form (PDF)
  
• Work-Related Injury Practices (PDF)

111F (Police Officers and Firefighters Only)

For police officers and firefighters, there is an Injured on Duty state law that provides for tax-free payments of 100% of weekly pay.

Related Documents

• 111F Forms (Notice of Public Safety Accident) (PDF)

Related Documents & Links

• Employee Assistance Program (EAP) (PDF)
• Notification of Separation of Service (WRRB) (PDF)
• Online Training Program for Municipal Employees (Print and return the certificate provided upon completion.)
• Participant Enrollment Governmental 457(b) Plan Massachusetts Deferred Compensation SMART Plan
• Participant Enrollment Governmental 457(b) Plan Massachusetts Deferred Compensation SMART Plan - Mandatory OBRA
• (OBRA Information Guide)
• Reliant Occupational Health Locations
• Social Security Administration Website
• Worcester Regional Retirement System Website

Related Documents & Links

• CORI Policy (PDF)
• Drug and Alcohol Free Workplace Policy (PDF)
• Electronic Devices and Social Media Policy (PDF)
• Eligibility for Benefits Policy (PDF)
• Equal Employment Opportunity, Anti-Discrimination and Harassment Policy (Including Sexual Harassment) (PDF)
• Massachusetts Pregnant Workers Fairness Act (PDF)
• Summary of the Conflict of Interest Law for Municipal Employees