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Westfield MA Home page
  1. Home
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  3. Personnel
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Forms

Civil Service Forms

  • Form 9 Request for Transfer
  • Form 11 Request for Demotion or Change in Status
  • Form 14 Authorization of Employment
  • Form 15 Provisional Appointment
  • Form 16 Certification Report and Supplement
  • Form 30 Position Description
  • Form 56 Absence and Termination
  • Emergency Employment Notification
  • Section 67 Annual Statistical Reporting Form

Payroll Forms

For all forms associated with biweekly payroll.
  • Compensatory Time Report
  • Direct Deposit Authorization Form
  • Email-Advice-Delivery
  • Personnel Action Form
  • W-4 Federal Tax Withholding Form
  • M-4 State Tax Withholding Form

Continuing Education Approval Form

  • Continuing Education Approval Form

Workers Compensation Forms

  • Workers Compensation Packet

City Vehicle Incident Report Forms

  • Vehicle Incident Report

Personnel Forms

  • City Employment Requisition Form
  • Change of Address Form
  • Notice of Separation Form

Family Medical Leave Act Forms

  • Employee FMLA Leave Request Form
  • Certification of Health Care for Employee Form
  • Certification of Health Care Family Member Form
  • Certification of Qualify Exigency Military Form
  • Certification of Injury/Illness Veteran Military Caregiver Form
  • Certification for Serious Injury or Illness of a Current Servicemember Form



  1. Contracts
  2. Employee Benefits
    1. 457 Deferred Compensation Plan
    2. Creditable Coverage Notice
    3. Dental Plan
    4. Employee Assistance Program (EAP)
    5. Flexible Spending Account (FSA)
    6. Health Plans
    7. Life Insurance
    8. Retiree Insurance
  3. Employment
  4. Forms
  5. Policies
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Agendas & Minutes
  1. Westfield MA Home page

  1. City of Westfield
    59 Court Street, Westfield, MA 01085


    Phone: (413) 572-6200 | Fax: (413) 572-6274

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