Forms

Forms for your health insurance fitness reimbursement and mail order prescriptions can be found on our Employee Discounts Page.

If you need additional forms to update your benefits, check the Benefits Page or contact the Treasurer's Office at 781-270-1623.

Family / Medical Leave (FMLA)

If you will be out to care for a family member or for your own serious health condition, you may be eligible for job protections through the Family Medical Leave Act (FMLA) (PDF). Submit these forms to Human Resources to assist us in providing this benefit to you. All materials will be maintained confidentially and may be faxed to 781-238-4696.

When you return, you will need to provide a note from your doctor letting us know that you are cleared to return to work. If you are released to work with accommodations, we will need to know that as well in order to determine if those requests can be put into place. For your convenience, you may provide the Fitness for Duty Certification and Notice of Intent to Return to Work (PDF) for your doctor to complete.

Families First Coronavirus Response Act (FFCRA)

In effect April 1, 2020 through December 31, 2020

Eligible employees are entitled to a combined total of 12 weeks of Federal FMLA and FFCRA in a 12 month period.