Payroll Forms

Payroll

Existing employees who would like to make a change to their direct deposit, address or tax withholdings can utilize the forms below. Please print, complete and return the forms below to the Treasurer's Office in person at Town Hall, via email to jgrasso@townofpembrokemass.org or fax to 781-294-9310. 

Direct Deposit Form - if setting up a new account please accompany this form with a voided check 

Electronic Payroll Advice - used for paperless direct deposit

Change of Address Form 

W-4 - used for federal tax withholding

M-4 - used for state tax withholding