Employee Forms & Resources

Applications & Forms

Pre-Employment Forms

  1. Middleton Employment Application
  2. Reference Form

Benefit Details

  1. Benefits at a glance FY20
  2. Insurance Rates with Vision FY20.xlsx
  3. FSA Highlights
  4. Contact Information for Additional Employee Paid Benefits
  5. Blue Cross Blue Shield plan details
  6. EyeMed plan details

Benefit Forms

  1. Direct Deposit Form (PDF)
  2. Essex Regional Retirement Board Form (PDF)
  3. I-9 Form (PDF)
  4. OBRA Acknowledgment Form (PDF)
  5. W-4 Form (PDF)
  6. Sick bank registration
  7. Blue Cross Blue Shield enrollment form
  8. Life insurance enrollment form
  9. FSA enrollment form 2019-2020
  10. EyeMed enrollment-change form

Human Resource Policies

  1. CORI policy Adopted 12/18/18
  2. Drug and Alcohol Policy
  3. EEO Discrimination and Sexual Harassment Policy Adopted 12/18/18
  4. Sick Leave Bank Policy
  5. Travel Expense Reimbursement Policy
  6. Vehicle Use Handbook
  7. Summary of the Conflict of Interest Law for Municipal Employees
  8. Overnight Stay reimbursement policy

Department Head Resources

  1. Procedures for Processing Workers Compensation Claims
  2. Workers Compensation Forms
  3. Request for New Hire Form
  4. Form 6 revised 01-29-19 fillable
  5. Expense Reinmbursement Form
  6. Incident Report

Union Collective Bargaining Agreements

  1. Department of Public Works FY18 - FY20
  2. AFSCME (Clerks) Agreement FY17-FY19

Workplace Postings

  1. Chemical Right to Know 2018
  2. EEO 2018
  3. Fair Employment 2018
  4. FLSA Minimum Wage 2018
  5. FMLA 2018
  6. Parental Leave 2018
  7. Polygraph 2018
  8. Unemployment 2018
  9. USERRA 2018
  10. Wage and Hour 2018
  11. Workers Comp 2018
  12. Workplace Safety and Health 2018