New Full-Time Employees
***Please return completed documents to the Town Treasurer's Office***
Freetown Town Hall
3 N Main Street
Assonet, MA 02702
Required Forms:
Please complete the New Employee Checklist and return with required forms and all necessary supporting documents.
**Please read important instructions including completing Bristol County Retirement Forms**
- W-4 Federal Income Tax Withholding
- M-4 State Income Tax Withholding (Only required if different from Federal Withholding)
- I-9 Employment Eligibility Verification (Must include supporting documentation-see list on page 3)
- Direct Deposit Form (Mandatory)
- SSA Form 1945 regarding Social Security Benefits
- Bristol County Retirement New Member Enrollment Form
- Bristol County Retirement Beneficiary Selection Form
- Bristol County Retirement Beneficiary Form (Option D)
- Massachusetts Laborers Union Cards (If Applicable)
- Beneficiary Designation Request (Required for Police and Fire ONLY)
Required Benefits Forms:
Must complete Enrollment form OR Declination Form
***All benefits are paid one month in advance, therefore, deductions will be doubled the first month.***
- Blue Cross Blue Shield Health and Dental Enrollment Form
- Health Insurance Declination Form
- Blue 20/20 Vision Plan Enrollment Form
- Boston Mutual Enrollment Form/Refusal Form
The only time you may enroll (or cancel) benefits is at Open Enrollment unless you have a Qualifying Event.
Qualified changes in status include: marriage, divorce, legal separation, birth or adoption of a child, change in child's dependent status, death of a spouse, child or other qualified dependent, change in residence due to an employment transfer for you or your spouse, commencement or termination of adoption proceedings, or change in spouse's benefits or employment status.
Please provide proof of change within 30 days of Qualifying Event.
Additional benefits are available. Please visit the Employee Benefits tab to learn more.