Information for Employees

Welcome to the Village of Germantown!  Below are forms needed for full and part time employment. If you have questions about any of these forms, please contact:

 Erin Hirn, Support Service Manager
(262)250-4750 

The Policy and Procedure Manual applies to all employees; everyone is required to sign an acknowledgment of understanding. 

Policy and Procedure Manual
Acknowledgment Non-Represented

Ethics Policy & Form

2022 Holidays

2022 Payroll Dates

Mileage Log

Required Forms for all New Employees

I9

Federal W4

Wisconsin W4

Direct Deposit Fillable

Emergency  Information

Info and Forms for Full Time Employees

Rate Sheet

Health


UMR Enrollment Form

Dental


Delta Dental Enrollment Form

Flexible Spending

2022 Enrollment Letter

Deferred Compensation

Mission Square Deferred Compensation 457 Enrollment

North Shore Bank Deferred Compensation 457 Enrollment

Info and Forms for  Employees Working over 24 Hours



Long Term-Short Term Disability

Income Continuation Insurance

Life Insurance

Life Insurance Application

Accident Insurance

Enrollment Form

Vision

Vision Enrollment Application
Retiree Continuation Application

GO365

Wisconsin Retirement System


Notices

Premium Assistance Under Medicaid and the Children’s Health Insurance Program

New Health Insurance Marketplace Coverage Options and Your Health Coverage

Information About Our G365 Program

Women's Health and Cancer Rights Act Annual Disclosure Notice

About Your Prescription Drug Coverage and Medicare

Summary of Benefits and Coverage PPO

Summary of Benefits and Coverage HDHP