Employee Benefits and Forms

The information provided below is for new and existing employees of the Town of Swampscott. Use the links to download various documents and forms. You can reach out to Human Resources with any questions at 781.596.8810 or hr@swampscottma.gov.

All completed forms must be returned to Human Resources at Town Hall.

New Hire Paperwork

 REQUIRED?LINK
Employee Data FormYesDOWNLOAD
Employment Eligibility Form (I-9)YesDOWNLOAD
Employment Eligibility - Work PermitYes - for 14-17yos onlyDOWNLOAD
Background - CORIYesDOWNLOAD
Direct Deposit FormOptionalDOWNLOAD
Federal Taxes (W-4)YesDOWNLOAD
State Taxes (M-4)YesDOWNLOAD
Social Security YesDOWNLOAD
Conflict of Interest - Town Clerk LetterYesDOWNLOAD
Conflict of Interest - SummaryYesDOWNLOAD
Conflict of Interest - Acknowledgment FormYesDOWNLOAD
Harassment PolicyYesDOWNLOAD
Harassment Policy - Acknowledgment FormYesDOWNLOAD

Employment Benefits

Items listed below with an asterisk are available for employees working at least 20 hours per week.

Insurance must be enrolled (returned to HR) within 10 days of the start of your employment. Employees may change or make a new insurance selections outside of their new hire timeframe during open enrollment (which typically occurs in April each year) or during a "qualifying event."

 NOTESLINK
Benefits Summary Letter DOWNLOAD
Pension - New Member Form* DOWNLOAD
Pension Selection - Refund Deductions Form* DOWNLOAD
Pension Selection - Option D Form* DOWNLOAD
OBRA Mandatory SMART PLANRequired for employees working less than 20 hours/weekDOWNLOAD
Waiver of Town InsurancesRequired if eligible for insurance but waiving selection of insuranceDOWNLOAD
Insurance RatesJuly 1, 2023 to June 30, 2024DOWNLOAD
Health Insurance (through GIC)*Let HR know if you would like to sign upDOWNLOAD
Vision Insurance (through EyeMed)* 

SUMMARY

 

FORM

Dental and Supplemental Insurance (through Sun Life)* 

SUMMARY

 

FORM

Life Insurance (through Boston Mutual)* 

SUMMARY

 

RATES

 

ENROLLMENT FORM

 

BENEFIT CHANGE FORM

Flexible Spending Account (through Cafeteria Plan Advisors)* 

SUMMARY

 

ENROLLMENT FORM

 

DEPENDENT CARE CLAIM FORM

Current Employees

 NOTESLINK
Direct DepositIf you need to add or change your direct depositDOWNLOAD
Personal InformationUpdate your name, address, or phone numberDOWNLOAD