Applications & Guides

Documents

  1. BENCOR PT Manditory OBRA letter 9.2025
  2. Direct Deposit Authorization Agreement Form (PDF)
  3. EAP Information Flyer (PDF)
  4. EEO Voluntary Self-Identification Form (PDF)
  5. Emergency Contact Information Form (PDF)
  6. I-9 Employment Eligibility Verification Form (PDF)
  1. M-4 Employees Withholding Form (PDF)
  2. Personal Information Update 7.2025 FILLABLE
  3. Social Security Statement Form (PDF)
  4. Training-Conference Request Form (PDF)
  5. W-4 Federal Tax Form
  6. MMEA Education Incentive Application Form

Insurance Application (Enrollment/Change) Forms

  1. City Of Marlborough Insurance Eligibility
  2. CPA Enrollment Form (PY25-26)
  3. Delta Dental Enrollment Form (PDF)
  4. HPHC Enrollment Form Fillable
  1. Harvard Pilgrim Saver Plan Acknowledgement 7.1.2024
  2. MetLife Enrollment Form and Rate Sheet Retirees (PDF)
  3. MetLife Enrollment Form and Rate Sheet Active EEs (PDF)

FMLA Paperwork

  1. 1. DOL FMLA Fact Sheet 28
  2. 2. Employee Rights Under FMLA
  3. 3. FMLA Policy revised 2020
  4. 4.FMLA Request for Leave form 2024
  1. 5. Insurance Premium Form
  2. Cert for EMPLOYEES Health Condition exp 6.30.2026
  3. Cert for FAMILY MEMBERS Health Condition exp 6.30.2026

Workers' Compensation/111F

  1. WC Injury Filing Procedures
  2. Accident Form - Supervisors - FILLABLE 12.5.2024
  1. Accident Form - Employee -FILLABLE 6.2025
  2. IOD (Police & Fire) Incident Report Form-FILLABLE 10.2025

FY2026 Salary Tables

  1. Non-Union Salary Table 01-12-2026
  2. DPW Engineers Salary Table 07-01-2025
  3. DPW Foremen Salary Table 07-01-2025
  4. Laborers Salary Table 7-1-2025
  1. Firefighter Salary Table 07-01-2025
  2. MMEA Salary Table 07-01-2025
  3. Police Command Salary Table 07-01-2025
  4. Police Patrol Salary Table 07-01-2025