On Boarding Documents

on boarding

Congratulations on your employment with the Town of Upton!

The following documents are required of new employees based on your employment status and benefit eligibility.  Many can be completed online before printing.  Print each and return at your earliest convenience. 

Important Notes:

  • All forms listed below must be completed as thoroughly as possible. 
  • Please date and sign the form where prompted.
  • If you have any questions, please feel free to call our office at 508.529.6901.

Incomplete or forms not submitted timely may result in incorrect processing of your first paycheck.

Mandatory Forms for ALL New Employees:

I-9 Employment Eligibility  (Instructions) 

CORI Acknowledgement Form

Emergency Contact Information

Form W-4 

Statement Concerning Your Employment in a Job Not Covered by Social Security

Direct Deposit Employee Authorization

Complete the Online Training Program for Municipal Employees (Print and return the certificate provided upon completion.) 

Employee Policy Acknowledgement

Police/Fire Injured On Duty Coverage

Reliant Occupational Health Locations

Voluntary Election Forms for Benefit Eligible Employees:

Blue Cross Blue Shield Enrollment (medical and dental)

Direct Pay (required if enrolled in medical plan)

Medical Coverage Opt Out Election Form

Sunlife (STD required)

Participant Enrollment Governmental 457(b) Plan Massachusetts Deferred Compensation SMART Plan 

Flexible Spending Plan

Union Dues Deduction Authorization

Mandatory Form for Benefit Eligible Employees:

Employees who are regularly scheduled to work 1040 hours or more in a calendar year must become members of the Worcester Regional Retirement System.

New Member Enrollment Form

Beneficiary Selection Form

Information to Assist Active Members in Completing the Member’s Beneficiary Selection Form. 

Mandatory Form for Seasonal and Part Time Employees:

Participant Enrollment Governmental 457(b) Plan Massachusetts Deferred Compensation SMART Plan - Mandatory OBRA