New Hire Paperwork

Forms

Employee Completes

Employment Application

Emergency Contact Form

2024 w-4 

M-4 Massachusetts Employee's Withholding

Direct Deposit form (please attach a voided check)

I-9 2023 (expires 7.31.26)  (page 1 - please bring two forms of ID - see page 2 "List of Acceptable Documents")

EEO - Voluntary Self-Identification (front page only)

Department Head Completes

Payroll Status Change Form

Rate of Pay Form

Background Checks

TOM - Authorization to Release Information (general)

TOM - Authorization to Release Information-HireRight (if going through HireRight - Combined HireRight & Auth to Release)

Reference Check Form

BEAS

CRC - EMS CHRI 5/1/17

CRC - Municipal CHRI 3/1/19

CRC - Reduced Fee Request

DMV - Rev 8/18

Working Advantage

Working Advantage

COBRA

AT TIME OF HIRE

About the COBRA Model Notices - FAQ's About COBRA Model Notices 

Under COBRA, group health plans must provide covered employees and their families with certain notices explaining their COBRA rights. A group health plan must provide each covered employee and spouse (if any) with a written notice of COBRA rights “at the time of commencement of coverage” under the plan (general notice). A group health plan must also provide qualified beneficiaries with a notice which describes their rights to COBRA continuation coverage and how to make an election (election notice). 

Some qualified beneficiaries may want to consider and compare health coverage alternatives to COBRA continuation coverage, such as coverage that is available through the Health Insurance Marketplace (Marketplace). Qualified beneficiaries may be eligible for a premium tax credit (a tax credit to help pay for some or all of the cost of coverage in plans offered through the Marketplace) and cost-sharing reductions (amounts that lower out-of-pocket costs for deductibles, coinsurance, and copayments), and may find that Marketplace coverage is more affordable than COBRA. Qualified beneficiaries may also be eligible for Medicare, or have questions about the interaction between Medicare and COBRA.

The DOL has model notices that plans may use to satisfy the requirement to provide the general notice and election notice under COBRA. DOL is now issuing updated versions of the model general notice and the model election notice to ensure that qualified beneficiaries better understand the interactions between Medicare and COBRA.

DOL will consider use of the model notices available on its website, appropriately completed, to constitute compliance with the notice content requirements of COBRA.