Skip to Content

Group Insurance Comm. Enrollment/Change (Form-1MUN) – Active Employees


April 3, 2024

| Human Resources / Assistant Town Manager



Town of Sudbury GIC Enrollment Form - Fill in information, print out enrollment form and sign. For family plans you will also need to complete the Insurance Data Form.
Don't forget to attach your Required Documents.

Filename Size Updated
GICEnrollmentandChangeForm-ActiveEmployees.pdf 237 KB Tuesday, 4/2/2024 2:48 pm

Document Categories