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

Notice of Election for DPW bargaining unit

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

2023 Holidays

2023 Payroll Dates

Mileage Log

Required Forms for all New Employees


Federal W4

Wisconsin W4

Direct Deposit Fillable

Emergency  Information

Info and Forms for Full Time Employees

Rate Sheet


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

2023 Enrollment Letter

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


Wisconsin Retirement System


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