Family Medical Leave of Absence (FMLA)

Employee Eligibility

To be eligible for FMLA benefits, an employee must:

  • Work for a covered employer;
  • Have worked for the employer for a total of 12 months;
  • Have worked at least 1,250 hours over the previous 12 months; and
  • Work at a location in the United States or in any territory or possession of the United States where at least 50 employees are employed by the employer within 75 miles.

Intermittent Leave

Eligible employees may take FMLA leave on an intermittent or reduced schedule basis when medically necessary due to the serious health condition of a covered family member or the employee or the serious injury or illness of a covered service member. See §825.202. Eligible employees may also take FMLA leave on an intermittent or reduced schedule basis when necessary because of a qualifying exigency. If an employee needs leave intermittently or on a reduced leave schedule for planned medical treatment, then the employee must make a reasonable effort to schedule the treatment so as not to disrupt unduly the employer's operations.

All forms should be completed and returned to Human Resources within 30 (thirty) calendar days of the first day of your leave with the exception of the Health Care Provider Form which is to be returned at least fifteen (15) calendar days upon receipt.  Failure to provide the required documentation in a timely manner may result in delay or denial of requested leave.


Fact Sheet #28: The Family and Medical Leave Act

Fact Sheet D_Employer Notification Requirements

Section 825.300

FMLA Poster


Court Leave (Jury Duty)

Eligible employees may receive regular salary when called to serve for jury duty or act as a witness on behalf of a governmental body. The appropriate court document and/or jury duty notice must be submitted to the Human Resources Department.

Military Leave

Paid military leave is granted to eligible employees called to duty in the armed forces of the commonwealth in the event of natural disaster or civil disturbance; unpaid leave for extended periods of active duty. Please see FMLA for Military Family Leave.

Bereavement Leave

Eligible employees may take bereavement leave depending on the relationship to the deceased.  Please see your respective Collective Bargaining Agreement or Code of Ordinances (Sec. 2-136. - Funeral leave).

New Hire Forms

In order to get to a smooth start Human Resources requires new employee to complete and submit a number of documents that identify you as an employee of the City of Brockton.

All new employees must acknowledge and complete the attached pre-employment paperwork. If competed on-line, print, sign and return to Human Resources, Brockton City Hall, 2nd Floor.

There are two sections that would need to be completed and acknowledged:

Pre-Employment Packet
City of Brockton New Hire Policy Packet

Benefited appointees must also complete mandatory benefits paperwork. Please contact Human resources at 508-580-7820 or personnel@cobma.us to schedule an appointment.

Download entire Benefited Pre-employment Packet

Download entire Non-Benefited Pre-Employment Packet

NOTE: All pre-employment documents including the Form I-9 must be printed single-sided. All documents listed on the pre-employment checklist and the Form I-9 must be submitted as a complete packet in order to be processed. Faxed or scanned documents will not be accepted.

Forms included in the packets:

  • Employee Information Form
  • Form I9*
  • W4 Federal Tax Form
  • Direct Deposit Form
  • Form SSA-1945 (benefitted only)
  • Voluntary Self-ID Form
  • Voluntary Self-ID of Disability
  • MA Family Disclosure Form
  • Conflict of Interest Requirements
  • Notice of Residency
  • CORI Acknowledgment & Authorization Form
  • OBRA Acknowledgment Card (non-benefitted only)

*Newly hired employees must complete Section I of this form no later than their first date of employment. Employees must provide documents within three (3) days of their date of hire.
Complete, sign and date the bottom of the form.
Note: For further instructions on how to complete the Form I9, click on the following link:
Form I9 Instructions

If you need to download a specific form that is included in the packet please go to our “Forms” page.


Employees must sign and acknowledge receipt of City of Brockton policies and return to Human Resources along with the complete Pre-Employment Paperwork.

Download entire New Employee Policy Packet

Download Employee Policy checklist only

Policies included in the packet:

  • MA CORI Policy
  • Drug and Alcohol Policy
  • Employee Assistance Program
  • Family Medical Leave Policy
  • MA Pregnant Workers Fairness Act
  • Nepotism Policy
  • Sexual Harassment Policy

If you need to reference or download a specific policy please go to our “Policies & Guides” page.

All documents and policy acknowledgement page must be completed and returned to Human Resources within two weeks of offer or as soon as possible to alleviate any disruption in payroll.


Acknowledgement Form COI PDF 61 KB Download
Code of Ethics PDF 116 KB Download
CORI Policy PDF 418 KB Download
Domestic Violence Policy PDF 258 KB Download
Drug and Alcohol Policy PDF 336 KB Download
Employee Assistance Program PDF 124 KB Download
Equal Employment Opportunity PDF 151 KB Download
Family Medical Leave PDF 169 KB Download
Fire Drug and Alcohol Policy PDF 132 KB Download
Fire Sexual Harassment Policy PDF 160 KB Download
Guide Public Employees PDF 62 KB Download
Massachusetts Pregnant Workers Fairness Act PDF 134 KB Download
Nepotism Policy and Disclosure Statement PDF 421 KB Download
Policy for Access and Use of Telecommunications Equipment PDF 123 KB Download
Residency PDF 284 KB Download
Sexual Harassement Policy PDF 162 KB Download

Training and Development


Every person first employed by the City of Brockton on or after the first day of January, 1992, shall be a resident of the city or shall, within one (1) year after such person commences to be employed by the city, establish residency within the city.

Failure of an employee to establish residency within the City of Brockton within one (1) year after commencement of employment with the city shall be determined to be a voluntary termination of employment by such employee.

Upon taking employment with the city, and annually on July 1st thereafter, every employee shall file with his or her department head, or like officer, a certificate signed under the pains and penalties of perjury, stating his or her name and place of residence.

Residency Ordinance Form

If you need to download the residency requirement please visit our Policy & Guides page.

Work Life

Employee Assistance Program (EAP)

AllOne Health

Provides a wide range of assistance services that help increase individual, student, member and organizational health & productivity. AllOne Health provides a level of 24/7 concierge-style services that sets the standard, along with in-person and online resources that encourage you to maintain health and positive lifestyles – while supporting them with proven, effective strategies when needed.

Services provided but not limited to:

Mental Health Counseling
Life Coaching
Work/Life Resources
Student Assistance Program
Legal/Financial Resources

For more information and/or contact a representative:

Telephone: 1-877-720-7770
Email: inquiry@allonehealth.com
Website: allonehealth.com

Employee Assistance Program

Massachusetts Legal Holidays

For a full description please click below:

Massachusetts Legal Holidays 2019 - 2021

Job Aids

Union Contracts

The Human Resources Department serves as the City's chief representative in all employee relations matters, including collective bargaining. Human Resources provides guidance on a wide variety of employment issues and concerns with the goal of ensuring the fair and consistent treatment of all City staff.  Each bargaining unit has a collective bargaining agreement (CBA) please see below to link to your respective (CBA).  Note, if your contract is not listed contact please contact your union representative to a copy.

UnionUnion ContractCurrent Salary Scale
Building Construction & TradesBuilding Construction Trades contract MOAs July 1 2007 June 30 2019Building Construction Trades Scale
Brockton City Employees UnionFY16-19 BCEA Final IntegrationBCEU Reclassification I
BCEU Non-Reclassification II
Brockton City Hall Administrative Services AssociationFY16-19 BCHASA Final IntegrationBCHASA Reclassification I
BCHASA Non-Reclassification II
Laborers Local 1162Contact union representativeLaborers Scale
Laborers Parking Garage Scale
Brockton Police Patrolmens AssociationContact union representativePolice Association Scale
Brockton Public Library Employee AssociationBrockton Public Library SEIU Local 888 Integrated Contract 16 19Library Employee Scale
City Department Administrators UnitFinal Integrated Department Heads ContractAdministrators Scale
Water/Sewer Local 1162Contact union representativeWater Sewer Scale
Brockton Association of Engineers, Technicians and InspectorsContact union representativeBAETI Scale
International Association of Firefighters Local 144Contact union representativeFirefighters Scale
Police Supervisors UnionContact union representativePolice Supervisors Scale

Human Resources Staff

Shirley Rothwell
Shirley Rothwell
Benefits Administrator 2
Nicole Caserez
Nicole Casarez
Benefits Administrator 5
Michalea McPhee
Michaela McPhee
Benefits Administrator 4