Non-Benefit Eligible Employees-Town

Welcome to the Town of Lunenburg. Non-benefited employees are typically seasonal employees, On Call Firefighters, Reserve Police Officers, and other employees who work 19 hours/week or less. As a new hire, there are many forms that you must complete before your payroll record can be created and your first paycheck issued. The following must be printed out, completed, and returned, in person, with the appropriate documentation to Julie Belliveau, in Town Hall.

• Employee Information Sheet (PDF)
• W-4 Federal Tax Form (PDF)
• M-4 Massachusetts Withholding Form (PDF)
• I-9 Employment Eligibility Verification (PDF) - Acceptable forms of identification, as noted on the I-9 form must be presented in person by the employee.
• I-9 Form and Instructions (PDF)
• Payroll Direct Deposit Form (PDF)
• W-2 Electronic Consent Form (PDF)
• Form SSA-1945 (PDF) - Statement Concerning Your Employment in a Job Not Covered by Social Security
• Bencor Welcome Letter (PDF)
• Bencor Overview (PDF)
• Bencor Easy Access (PDF)
• Bencor Financial Wellness (PDF)

Please read the following policies and return the one-page "employment policies receipt" located at the bottom of the list. Policies need not be printed out.

• Use of Information Technology Resources Policy (PDF)
• Sexual Harassment Policy (PDF)
• Harassment of Individuals in Protected Classes (PDF)
• ADA Policy (PDF)
• Social Media Policy (PDF)
• Domestic Violence Leave Policy (PDF)
• Family Medical Leave Policy (PDF)
• Parental Leave Policy (PDF)
• Standards of Conduct Policy (PDF)
• Workplace Violence Policy (PDF)
• Pregnant Workers Fairness Act Policy (PDF)
• Employment Policies Receipt (PDF)