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Welcome to Burlington!
We are excited to have you join us! The following documents are required of all new employees. Many can be completed online before printing. Print each and return at your earliest convenience.
When you meet with us to go over these documents, please provide the following items:
- 2 forms of identification (as listed on the I-9 form; your choice!)
- Any other licenses required for your new position
- Voided check so we can set up your Direct Deposit
Important Notes
- All forms listed must be completed as thoroughly as possible
- If you have any questions, please feel free to call our office at 781-505-1160
- Incomplete or forms not submitted timely may result in incorrect processing of your first paycheck
- Please date and sign the form where prompted
To access the necessary documents, click on the tab below that corresponds to your employment:
Permanent Employees:
20 or More Hours Weekly
Payroll/Tax Forms:
- Employee Withholding Allowance Form (W-4) (PDF)
Only page 1 is necessary to complete and return. The only two steps required for all employees are Step 1 (personal information) and Step 5 (signature). Complete Steps 2-4 only if they apply to you. Doing so will make your withholding more accurately match your liability. This online calculator from the Internal Revenue Service is available to help you determine your withholding. - Massachusetts Withholding Certificate (M-4) (PDF)
Complete the top fully. Item Number 4 is required; all others are optional. - Middlesex County Retirement System Enrollment Form (PDF)
Complete all pages as fully as possible. If you are currently a member of the Middlesex County Retirement System, your funds will transfer automatically to your employment in Burlington. If you have participated in other Massachusetts public retirement systems, contact Middlesex Retirement to have those funds transferred into your Middlesex account. Social security numbers are required for all beneficiaries. Please refer to the Middlesex Retirement Beneficiary Guide in the Resources section. - Direct Deposit Form (XLS)
This form is required and allows your paychecks to be deposited into your financial institution(s) and must be returned with a voided check or proof of account. The Burlington Municipal Employees Federal Credit Union is available to all employees if you need to set up a checking/savings account. - Employment Eligibility Verification (I-9)
You will need Adobe Reader to view this fillable document.
Only page 1 is necessary to complete and return along with the required identification. Review the lists of acceptable identification and work eligibility documents on page 2. Return the form along with copies of the required identification and work eligibility documents. If you need assistance in completing this form, instructions can be found in the Resources section.
Policies and Other Items:
Only the signatures pages for each policy are required to return - hold onto the policy itself for your reference
- Conflict of Interest Summary and Acknowledgement (PDF)
Review this document and return the acknowledgment page. - Conflict of Interest Online Training
Complete this online training. Print and return the certificate provided upon completion. - Electronic Media Policy (PDF)
Review this document and return the acknowledgment page.
To avoid printing: You may electronically sign and return the acknowledgement page here - Harassment Policy (PDF)
Review this document and return the acknowledgment page.
To avoid printing: You may electronically sign and return the acknowledgement page here - Emergency Contact Information (PDF)
In the event of a workplace emergency, this form lets us know who we can contact. - Employee Data Form (PDF)
This form helps us with our various reporting requirements. Please complete all applicable areas.
Employees Working Fewer Than 20 Hours Weekly / Temporary Employees / Seasonal Employees
Payroll/Tax Forms:
- Employee Withholding Allowance Form (W-4) (PDF)
Only page 1 is necessary to complete and return. The only two steps required for all employees are Step 1 (personal information) and Step 5 (signature). Complete Steps 2-4 only if they apply to you. Doing so will make your withholding more accurately match your liability. This online calculator from the Internal Revenue Service is available to help you determine your withholding. - Massachusetts Withholding Certificate (M-4) (PDF)
Complete the top fully. Item Number 4 is required; all others are optional. - Omnibus Budget Reconciliation Act (OBRA) Enrollment Form (PDF)
Only page 1 is necessary to complete and return. As a part-time, seasonal, or temporary employee of a Massachusetts local government employer, you are required to participate in OBRA, which is an alternative to Social Security. Complete this form as fully as possible. Social security numbers are required for all beneficiaries. Please refer to the OBRA information sheet on page 2 of this document. - Statement Concerning Social Security (SSA-1945) (PDF)
Because you are enrolling in OBRA, the Town of Burlington does not deduct social security from your earnings. This form explains how your Social Security benefits are affected. - Direct Deposit Form (XLS)
This form is required and allows your paychecks to be deposited into your financial institution(s) and must be returned with a voided check or proof of account. The Burlington Municipal Employees Federal Credit Union is available to all employees if you need to set up a checking/savings account. - Employment Eligibility Verification (I-9)
You will need Adobe Reader to view this fillable document.
Only page 1 is necessary to complete and return, along with the required identification. Review the lists of acceptable identification and work eligibility documents on page 3. Return the form along with copies of the required identification and work eligibility documents. If you need assistance in completing this form, instructions can be found in the Resources section.
If you have difficulty accessing the I-9 form click here for a printable version.
Policies and Other Items:
Only the signatures pages for each policy are required to return - hold onto the policy itself for your reference
- Conflict of Interest Summary and Acknowledgement (PDF)
Review this document and return the acknowledgment page. - Conflict of Interest Online Training
Complete this online training. Print and return the certificate provided upon completion. - Electronic Media Policy (PDF)
Review this document and return the acknowledgment page.
To avoid printing: You may electronically sign and return the acknowledgement page here - Harassment Policy (PDF)
Review this document and return the acknowledgment page.
To avoid printing: You may electronically sign and return the acknowledgement page here - Emergency Contact Information (PDF)
In the event of a workplace emergency, this form lets us know who we can contact.
Resources
- Criminal Offender Record Information (CORI) Form (PDF)
Required for any employee who has direct and unmonitored contact with children, the elderly, or disabled individuals - W-4 Guidance
An explanation of how to fill out the W-4 form - Middlesex County Retirement System Beneficiary Information
Explanation of survivor benefit options to assist with selecting your beneficiary/ies - How Social Security is affected by your public employment
This website explains how your pension will be affected when you collect a public pension - I-9 Instructions
Refer to this document if you need assistance completing the I-9 form