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Employee Forms

Forms & Handouts

  • Direct Deposit Form (PDF)
  • Employee Accident and Injury Report (PDF)
  • Families First Coronavirus Response Act (FFCRA) (PDF)
  • Form M-4 (State Taxes) (PDF)
  • Form W-4 (Federal Taxes) (PDF)
  • BCBS Fitness Reimbursement Form (PDF)
  • Harvard Pilgrim Fitness Reimbursement Form (PDF)
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Contact Us

  1. City of Beverly
    191 Cabot Street
    Beverly, MA 01915
    Phone: 978-921-6000

City Hall Hours

  1. Mon-Wed: 8:30AM-4:30PM
    Thu: 8:30AM-7:30PM
    Fri: 8:30AM-1:00PM

Quick Links

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