Employees working 20 plus hours per week

Employee Checklist 

W-4 Federal Withholding Tax Form

M-4 Massachusetts State Withholding Tax Form

Employee Information/Emergency Contact 

I-9 Employment Eligibility Verification - We ONLY need Page 1 completed along with corresponding identification listed on Page 2 UNLESS a preparer and/or translator assisted you in completing Section 1. If so that person MUST complete the Preparer and/or Translator Certification on Page 3. 

Norfolk County Retirement Enrollment  - copy of birth certificate required

Norfolk County Retirement - Beneficiary form 

SSA-1945 Social Security Notice - submit signature page only

Direct Deposit - submit voided check or notice from bank of routing & account number

AFSCME Union Application for Membership (Clerical, DPW, Library union only)

State Ethic Law - must provide proof of training

Drug & Alcohol Policy ( DPW Union employee only)

Acknowledgment of Policies & Procedures - Policies & Procedures

Declination of Health Insurance coverage -complete only if you are not enrolling onto the Town's medical insurance program.

Please go to the "Benefits Information" link to review the various insurance plans offered through the Town of Walpole.  Thank you.