Forms

Payroll Forms:

Direct Deposit Authorization Form

Form M-4 Massachusetts Employee's Withholding Exemption Certificate - December 2019

Form W-4 Employee’s Withholding Allowance Certificate - 2020


FY20 Benefit Forms:

Altus Dental Enrollment - Dental Insurance

Eyemed Enrollment - Vision Insurance

Harvard Pilgrim ChoiceNet PPO Enrollment - Health Insurance

Harvard Pilgrim ChoiceNet HMO Enrollment - Health Insurance

Harvard Pilgrim Focus Network HMO Enrollment - Health Insurance

Sentinel Online Enrollment Instructions - Flexible Spending

Town Hall Hours

Monday 9am-4:30pm

Tuesday 9am-7pm

Wednesday & Thursday 9am-4:30pm

Friday 9am-1pm

 

Contact Town Hall

Phone: 978-468-5520

Fax: 978-468-8014

138 Main Street

Wenham, MA 01984

resources
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