Personnel Benefit Information

Ellen Howard
Personnel/Benefits Coordinator
Email

Payroll & Benefit Forms

Insurance Information

Payroll & Benefit Forms

Benefits Outline

Dependent Care Expense Reimbursement Program

Depdendent Care Expense Reimbursement Claim Form

Direct Deposit Form (ACH Credits)

Medical Expense Reimbursement Program (Section 125)

Medical Expense Reimbursement Claim Form

Payroll Tax Withholding Form - Federal (W-4)

Payroll Withholding Form - State (M-4)

Town Wellness Incentive Benefit Election Form

Health Reimbursment Request Form

Health Insurance Responsibility Disclosure Form (HIRD)

Insurance Information

Employee Assistance Program

Insurance Rates:
Insurance Rates 7-1-13 Active 
Insurance Rates 7-1-13 Retiree

HIPAA Privacy Notice

Harvard Pilgrim Heath Care

Delta Dental Insurance