Forms & Policies

*Any direct deposit changes must be made in person in the Human Resources Office.  Our office is located at the Wellesley Town Hall on the second floor at 525 Washington Street, Wellesley, MA, 02482.

Employment Forms

  1. Employment Application (PDF)
  2. Employment Eligibility Verification Form I-9_pv (PDF)
  3. COBRA Notice (PDF)
  4. Emergency Contact Form (PDF)
  5. Opt Out Application (PDF)
  6. Personnel Action Form (PDF)
  7. Personnel Requisition Form (PDF)

Family Medical Leave Act Information & Forms

  1. Family and Medical Leave Act (FMLA) Employee Guide (PDF)
  2. FMLA Certification for Family Health Condition (PDF)
  3. FMLA Certification for Serious Health Condition (PDF)
  4. FMLA 12 month period calculation (a “rolling” 12-month period measured backward)
  5. Families First Coronavirus Reponse Act (FFCRA)
  6. Request Sick Leave - Covid19
  7. Request EFMLA - Covid19

Policies and Procedures

  1. Municipal Policies and Procedures Booklet (PDF)
  2. Policies and Procedures Receipt Form (PDF)
  3. Ethics --Instructions For On-line Training Program
  4. Personnel Guidebook (w 2012 Appendix) (PDF)
  5. Domestic Violence Leave Act Guide (PDF)
  6. Information Technology Policies (PDF)
  7. Notice of Privacy Practices (PDF)
  8. Summary of Conflict of Interest Law (PDF)
  9. Unlawful Harassment Policy (PDF)
  10. Pregnant Workers Fairness Act

Wage Charts

  1. FY 21 40-series Pay Schedule
  2. FY 21 50-series Pay Schedule
  3. General Schedule

Wage & Hour Information/Unemployment Information

  1. Massachusetts Wage and Hour Laws (PDF)
  2. How to Apply for Unemployment Benefits - Form 0590A (PDF)