Full-Time Employee

Please return completed documents to the Town House Payroll Office

Please click HERE to view the Dental Rates for Fiscal Year 2026 - Any changes to your coverage must be submitted prior to May 30, 2025.

Please click HERE to view the Health Insurance Rates for Fiscal Year 2026.

Required Forms

Please complete the New Employee Checklist and return it with the required forms and all necessary supporting documents.

• W-4 Federal Income Tax Withholding (PDF)
• M-4 State Income Tax Withholding (Only required if different from Federal Withholding) (PDF)
• I-9 Employment Eligibility Verification (Must include supporting documentation list on page 3) (PDF)
• Sexual Harassment Policy (PDF)
• Emergency Contact Information (PDF)
• Plymouth County Retirement Enrollment Form (Must include a copy of Birth Certificate) (PDF)
• Direct Deposit Form (Mandatory) (PDF)
• Conflict of Interest (Mandatory Training) (PDF)
• Internet Policy (PDF)

Required Benefits Forms: Must complete Enrollment form OR Declination Form

All benefits are paid one month in advance, therefore, deductions will be doubled in the first two to three pay periods.

• Blue Cross Blue Shield Health and Dental Enrollment Form (PDF)
  • Health Rate Sheet (PDF)
  • Dental Rate Sheet (PDF)
• Blue 20/20 Vision Plan Enrollment Form (PDF)
  • Blue 20/20 Rates (PDF)
  • Blue 20/20 Flyer (PDF)
• Boston Mutual Enrollment Form/Declination Form (PDF)
  • Employer Paid Basic Life and AD and D Coverages (PDF)
  • Voluntary Coverages Rates
• Flexible Spending Account Enrollment/Declination Form (PDF)
  • FSA Informational Flyer (PDF)

The only other time you may enroll (or cancel) benefits is at Open Enrollment unless you have a Qualifying Event.

Qualified changes in status include: marriage, divorce, legal separation, birth or adoption of a child, change in child's dependent status, death of a spouse, child, or other qualified dependent, change in residence due to an employment transfer for you or your spouse, commencement or termination of adoption proceedings, or change in spouse's benefits or employment status.

Please provide proof of change within 30 days of the Qualifying Event.

Additional benefits are available. Please visit the Employee Benefits tab to learn more.