Change of Name or Address

 

CHANGE OF NAME: 

STEP 1: *Fill out a new W4 (and M4 if applicable)*
                     Submit to the Treasurer's Office @ the Town Hall

STEP 2: Complete the following tasks for all that are applicable to you.

Health Insurance:
                Fill out a new enrollment form and provide a copy of the
                city/town issued Marriage Certificate or Court Judgement
                Enrollment forms also available at the Treasurer's Office
                Give both items to the Treasurer's Office @ the Town Hall 

Dental Insurance:
               
Fill out a new enrollment form and provide a copy of the
                city/town issued Marriage Certificate or Court Judgement
                Enrollment forms also available at the Treasurer's Office
                Give both items to the Treasurer's Office @ the Town Hall 

Franklin Regional Retirement (County Retirement):
                Fill out a Status Change Form and provide a copy of your NEW Social Security Card
                Give both items to the Treasurer's Office @ the Town Hall 

Massachusetts Teacher Retirement:
                Contact Brenda Antes @ the Superintendent's Office

American Fidelity (Accident, Cancer, Disability, FLEX, Life, Texas Life):
                Fill out a Name Change Form and fax it to the number provided on the form
                Contact the Treasurer's office for your Policy # @ 413-665-1400 x101


 

CHANGE OF ADDRESS: 

STEP 1: *Fill out a new W4 (and M4 if applicable)*
                     Submit to the Treasurer's Office @ the Town Hall

STEP 2: Complete the following tasks for all that are applicable to you.

Franklin Regional Retirement (County Retirement):
                Fill out a Status Change Form 
                Submit to the Treasurer's Office @ the Town Hall 

Massachusetts Teacher Retirement:
                Contact Brenda Antes @ the Superintendent's Office

American Fidelity (Accident, Cancer, Disability, FLEX, Life, Texas Life):
                Fill out an Address Change Form and fax it to the number provided on the form
                Contact the Treasurer's office for your Policy # @ 413-665-1400 x101