Human Resources Forms

Human Resources forms are below. 

For Name Changes or Marital Status Changes, click here

.W4 2025

Accident Report Form 2019

Change of Address Form

Consent Form for Electronic Delivery of Payroll Advices

Direct Deposit Form

ELAR Name Change Form

Lane Change Application Form

M-4 Massachusetts Employee Withholding Exemptions Certificate

Mileage Reimbursement Form

Omni 403B Salary Reduction Form

Omni Group 403B Salary Reduction Agreement Instructions

Reimbursement for Purchase of Materials

Travel Form - In State Travel Request Form JJH-R

Travel Form - Out of Country Travel Request Form JJH-R

Travel Form - Overnight and Out of State Travel Request Form JJH-R

Harvard Pilgrim Fitness Reimbursement Form

Blue Cross Blue Shield Fitness Reimbursement Form