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Insurance info: EMPLOYEES (Employee Assistance, Departmental Forms)

ALL insurance forms (completed & signed) are to be submitted to the Select Board's Office

ARE YOU A TOWN EMPLOYEE INJURED ON THE JOB?

Sorry to hear it - we want you well!

Our default stance for injuries occurring on the job? 

When in doubt, report!

 Submit paperwork ASAP

  • Complete the appropriate form (including the injured employee's social security number)
  • Obtain sign-off from your manager (managers, please provide your full contact information on the form where indicated) 
  • Submit the paperwork to the Select Board Office immediately at selectmen@townofberlin.com, deliver it to Room 206, or drop all paperwork in the Select Board 2nd floor mailbox.

Click here to find the necessary forms to report employee on-the-job injuries (both public safety and non-public safety employees):

  • Non-public safety employees -----> complete a Workers' Compensation (WC) report form
  • Police and Fire officials -----> complete the 111F injured on duty (IOD) report form
  • Was ambulance transport needed for your on-the-job injury?  Only if transported by Berlin EMS, the Berlin EMS ambulance fee may be waived for Berlin employees injured on the job (per Berlin Select Board)
  • Senior and Veteran Work-Off workers are not Town Employees under the Workers' Compensation policy.  Instead, Work Off employees injured on the job may file a 3rd party property/liability claim with the Select Board Office). 

FY24 Workers Comp Notice Poster

ARE YOU AN EMPLOYEE IN NEED OF ASSISTANCE?

The MIIA Employee Assistance Program (EAP) is the Town-paid confidential counseling and referral service for its employees.  It is here for you!  24 hours a day ... 7 days a week. 

Call 800‐451‐1834 

 

You receive 3 confidential in‐person or phone counseling sessions:

  • Manage Anxiety/Depression
  • Adjust to Demands of Work
  • Resolve Relationship Conflict
  • Talk About a Loved One’s Drinking
  • Address Parenting and Family Issues
  • Assess Your Level of Stress
  • Become a Better Communicator

You receive legal assistance of one free 30-minute office or telephone consultation per legal matter (this offering does not include job‐related legal issues).

  • Divorce
  • Child Custody
  • Car Accidents
  • Real Estate / Landlord / Tenant Issues

You receive financial counseling with one free 30-minute telephone consultation per financial issue.

  • Financial Planning
  • Credit Card Debt
  • Tax Advice
  • College Planning
  • Retirement Consultation