Employee & Town Forms

Employee Forms

• Address Change
• AFLAC- Contact directly @ 1.800.992.3522
• BCBS of Massachusetts- Town of Dunstable
  • FY2023 Rates
  • Blue Freedom- Dental coverage
  • BCBS Medical & Dental Enrollment/ Change Form
  • BCBS Translator Resources
  • TASC- Flexible Spending, Health Reimbursement & Dependant Care
• Boston Mutual Life insurance
• Conflict of Interest Law- Training/Certificate
• CORI- do NOT complete unless instructed to do so
• Direct Deposit
• Employee Change Status- Department Heads must complete
• Empower Retirement- Contact directly @ 1.877.457.1900
  • Deferred Compensation SMART PLAN- optional for Full-time Employees
  • OBRA SMART PLAN- mandatory for Part-time Employees
• Form I-9- Employment verification
• Form M-4 - Massachusetts tax withholding
• Form W-4- Federal tax withholding
  • FAQs on the 2020 Form W-4
• Middlesex Regional Retirement System
  • Enrollment Form- mandatory for all Regular PT & FT employees
• MIIA 
  • Virtual Wellness Activities 
    • Slip Awareness NEW!! 2.2023
    • Wellness Activities NEW!! 2.2023
• Personnel Board
  • Policies: Emergency, Harassment, Personnel 
  • Wage Classification Chart
• SSA-1945

Town Forms

• "Buy Recycled"- annual memo
• Department Revenue Turnover
  • Policy
• Employee Reimbursement Form
• Stop Payment/Void/Reissue Request- return to Treasurer Collector office
• Timesheets
  • Instructions