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City of Medford Boards and Commissions - Stipend Form Returns

Name*

Address*

Phone*

Phone

Email*

Please check the Board and/or Commission for which you have been appointed.

These are for stipends, only.

Boards + Commissions

Select or enter value

Please check your ward number

Select or enter value

REQUIRED DOCUMENTATION FOR STIPENDS

The following items are required to receive any stipend.

**Please upload all required documentation at once. Thank you!!

1. CONFLICT OF INTEREST (Online Ethics Training) - please click here

This training must be completed every two years and is required of both statutory and appointed board and commission members.

Conflict of Interest

2. OPEN MEETING LAW GUIDE - please click here

Open Meeting Law Guide

3. Social media policy - please click here

Social Media Policy

4. Please click here to access VOYA paperwork.

Please upload the completed paperwork at the bottom of this page.

VOYA paperwork

5. Please click here to access W4 paperwork.

Please upload the completed paperwork at the bottom of this page.

W4 paperwork

6. Please click here to access I-9 (Employment Eligibility Verification) paperwork, available in English and Spanish.

Please upload the completed paperwork at the bottom of this page.

I-9 paperwork

7. Please click here to access the CORI forms.

Please upload the completed paperwork at the bottom of this page.

CORI form

Please confirm you are submitting the following information.

Conflict of Interest Form*

Open Meeting Law*

Signed Social Media Policy*

Voya submitted*

W4 submitted*

I-9 submitted*

CORI submitted*

SWEARING IN BY THE CLERK

Once your forms have been submitted, please visit the City Clerk’s Office at Medford City Hall to be sworn into your position.

Clerks Office - Medford City Hall - Room 103

Hours:

M: 8:30 AM - 4:30 PM

T: 8:30 AM - 4:30 PM

W: 8:30 AM - 4:30 PM

Th: 8:30 AM - 4:30 PM

F: 8:30 AM - 12:30 PM

File Uploads*

Please be sure to upload all relevant paperwork for the Board and / or Commission.

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City of Medford Boards and Commissions - Stipend Form Returns

Please check the Board and/or Commission for which you have been appointed.

**REQUIRED DOCUMENTATION FOR STIPENDS**

Please confirm you are submitting the following information.

SWEARING IN BY THE CLERK

REQUIRED DOCUMENTATION FOR STIPENDS