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

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 

  1. Ethics Policy & Form
  2. 2024 Holidays
  3. 2024 Payroll Dates
  4. Mileage Log

Required Forms for all New Employees

  1. I9
  2. Federal W4
  3. Wisconsin W4
  4. Direct Deposit Fillable
  5. Emergency  Information

Info and Forms for Full Time Employees

Enrollment Presentation 2024


UMR Enrollment Form

To comply with the new Transparency in Coverage regulations, UnitedHealthcare/All Savers creates and publishes the Machine-Readable Files on behalf of T&A Industrial LTD. To link to the Machine-Readable Files, please click on the URL provided. Our company specific data will be available as of July 1st, 2022:


Delta Dental Enrollment Form

Flexible Spending

2024 Enrollment Letter
Diversified Power Point 


1.  Dependent Care FSA (Gold Plan)
2.  Health Care FSA (Gold Plan)
3. Limited Purpose FSA    (Silver Plan)

Deferred Compensation

Mission Square

North Shore Bank

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 Enrollment Application
Retiree Continuation Application


  • Coming Soon!

Wisconsin Retirement System