Part-Time Employee

Prior to your first day, it is necessary for you to complete the new hire forms so you can be added to the payroll.  As a new employee you cannot be paid until all required documents have been received.  Please review and complete the below items contained within this page, and as listed below.  Please submit all required forms, by appointment, to the Select Board's Office at least three days prior to the day you report to work.

PLEASE CLICK ON EACH ITEM LINK, IN THE GREY AREA, FOR FORMS.  ALL FORMS IN THE GREY AREA ARE REQUIRED AND ARE FILLABLE FORMS.  PLEASE FILL THEM OUT, PRINT THEM SINGLE (ONE) SIDED AND SIGN.  

Employee Checklist
Please print out, sign, date and return with your packet.

Employee Information Sheet
Emergency contact and general information for our records.  

 W-4 Form
IRS FAQ’s for the 2020 Federal Tax  Form
Federal Employee’s Withholding Allowance Certificate for your    Federal taxes.  *If you choose to claim exempt please see page 2.

 M-4 Form  
Massachusetts Employee’s Withholding Exemptions Certificate for your State taxes.
I-9 Form
Federal Employment Eligibility Verification.  This is required by the
Federal Government to verify proof of residency.  Identifying documents are described and must be submitted prior to your first day.

 OBRA-Empowerment OR Middlesex Additional Position Enrollment Form
As a Town of Lincoln Employee you must contribute to an OBRA plan which is a qualified retirement plan in lieu of Social Security.  Please note:  A beneficiary must be identified and an acknowledgment of this form is also required. 
If you already contribute to Middlesex retirement with a full time position your part time position may be pensionable.  Please fill out the additional position enrollment form.

  		 Social Security Disclaimer Form SSA-1945
You must sign this form to acknowledge that you are not contribution to social security but to an OBRA plan
Direct Deposit Form
Please fill out and attach a voided check.

 Town Policies and Acknowledgement Form
Please read the attached policies. Sign and return the acknowledgment form only.

 Conflict of Interest Memo and Acknowledgement Form
Please read the attached policy and complete the Online Training Program. Sign and return the acknowledgment form only.