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

• Employment Application (PDF)
• Employment Eligibility Verification Form I-9 pv (PDF)
• COBRA Notice (PDF)
• Emergency Contact Form (PDF)
• Opt Out Application (PDF)
• Personnel Action Form (PDF)
• Personnel Requisition Form (PDF)
• Position Review Form

Family Medical Leave Act (FMLA) Information 

• To request FMLA leave, please contact Jen Glover
• Family and Medical Leave Act (FMLA) Employee Guide (PDF)
• FMLA 12 month period calculation (a “rolling” 12-month period measured backward)

Policies & Procedures

• Ethics - Instructions For Online Training Program
• Domestic Violence Leave Act Guide (PDF)
• Information Technology Policies (PDF)
• Notice of Privacy Practices (PDF)
• Summary of Conflict of Interest Law (PDF)
• Unlawful Harassment Policy (PDF)
• Pregnant Workers Fairness Act (PDF)

Wage Charts

• FY 23 40-series Pay Schedule (PDF) 
• FY 23 50-series Pay Schedule (PDF)
• General Schedule (PDF)

Wage & Hour Information/Unemployment Information

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