Employee Forms
Full Time Employees
| Form | Form Description |
|---|---|
| W-4 | Federal Tax Withholding Form |
| M-4 | State Tax Withholding Form |
| SSA-1945 | Statement Concerning Social Security |
| Direct Deposit Authorization | Direct Deposit Authorization |
| I-9 | I-9 Form |
| Norfolk County Enrollment Form | Enrollment Form |
| Norfolk County Beneficiary Form | Beneficiary Form |
| Harvard Pilgrim Health Care HMO Plan Summary | Summary of Benefit Coverages |
| Harvard Pilgrim Health Care PPO Plan Summary | Summary of Benefit Coverages |
| Harvard Pilgrim Enrollment/Change Form | Enrollment Form |
| Delta Dental Summary of Benefits | Summary of Benefits |
| Delta Dental Enrollment Form | Enrollment Form |
| Flexible Spending Enrollment Form | Enrollment Form |
| Disability Brochure | Summary of Benefits |
Part Time Employees
| Form | Form Description |
|---|---|
| W-4 | Federal Tax Withholding Form |
| M-4 | State Tax Withholding Form |
| SSA-1945 | Statement Concerning Social Security |
| Direct Deposit Authorization | Direct Deposit Authorization |
| I-9 | I-9 Form |
| OBRA Enrollment | Enrollment Form |