Parish & Employee Forms

For Diocesan Employees

Application for Employment (Ministerial Position)

Application for Employment (Non-Ministerial Position)

Diocesan Employee Personnel Manual 07/2025 (English)

Diocesan Employee Personnel Manual 07/2025 (Spanish)

Employee Manual Verification Form 11/2017

Priest Verification Form 11/2017

For Volunteers

High School Coach Application Addendum 7/2019

Volunteer Application 10/31/2018 (In Spanish)

Volunteer Application 7/2021 (English)

Volunteer Personnel Manual 07/2025 (English)

Volunteer Personnel Manual 07/2025 (Spanish)

Volunteer Verification of Receipt of Personnel Manual 1/2018

Volunteer Verification of Receipt of Spanish Personnel Manual 11/2017

Young Person Volunteer Authorization

New Hire Payroll Packet

Authorization Agreement for Automatic Deposits (ACH Credits)

Authorization Agreement to Receive Payroll Statement by Email

I-9 Immigration and Naturalization Service 8/2023

Personnel Record Sheet (also used for terminations)

Safe Environment Form (to be filled out by the Parish/School Safe Environment Coordinator)

W4 Federal Employee’s Withholding Certificate 2025

WH 4 State of Indiana Employee’s Withholding Exemption and County Status Certificate 2023

Diocesan Employee Benefits Summary Plan Documents

403B Tax Deferred Annuity Retirement Plan 6/2023

Allstate Identity Theft Insurance Plan 6/2023

Anthem Dental Insurance Plan 6/2023

Anthem High-Deductible Plan / Health Savings Account (2026)

Anthem Traditional Medical Plan – PPO Package (2026)

Anthem Transparency in Coverage 6/2023

Anthem Vision Insurance Plan 6/2023

Express Scripts Prescription High Deductible Plan (2025)

Express Scripts Prescription Traditional Plan 2025

Flexible Spending Account

HIPAA Notice of Privacy Practices 3/2026

Insurance Deductions Per Pay Period (2025)

Lay Retirement Plan

LegalEASE Voluntary Insurance Plan 6/2023

Mutual of Omaha Accidental Death Insurance Plan 6/2023

UNUM Life and Voluntary Additional Life Insurance Plan 6/2023

UNUM Long-Term Disability Insurance Plan 6/2023

UNUM Voluntary Short-Term Disability Insurance Plan 6/2023

Insurance and Retirement Forms

403(b) Retirement Savings Plan Deferral Change Form 7/2023

403(b) Retirement Savings Plan Enrollment Form 8/2023

Anthem Enrollment/Change Form for Medical, Dental, Vision 7/2023

Location Insurance Termination Form

Sect 125 (Flexible Spending Account) Reimbursement Form

UNUM Life Additional Insurance Enrollment Form 7/2023

UNUM Life Complimentary Insurance Enrollment Form 7/2023

Voluntary Benefits Enrollment Form for Short-Term Disability, Legal, Identity 7/2023

Property and Liability Forms

Accident Report for Non-Employees

Building Report

Certificate of Insurance Form

Construction and Capital Expenditure Application

Guidelines for Special Events Coverage

New Special Events Form

Noll Center Work Order Form (jotform)

SCRIP Permission for Child/Ward Delivery of Scrip and Waiver of Claim

Human Resource Forms

Authorization for Involuntary Termination

Diocesan Corrective Action Form

Diocesan Last Chance Agreement Notice

Harassment Policy and Report Forms

Job Description Questionnaire

Performance Evaluation – To be completed by employee

Performance Evaluation – To be completed by supervisor

Reference Check Worksheet

Family and Medical Leave Act-Forms

FMLA Certification Form for Employee

FMLA Certification Form for Family Member

WH 381 Eligibility Rights and Responsibility Notice

WH 382 Designation Notice

Miscellaneous Forms and Policies

Demo Parish Family Registration Form 3/2015

Electronic Communication and Technology Policy 2/2020 (English)

Electronic Communication and Technology Policy 2/2020 (Spanish)

Funded Sick Day

Guidelines for Parish Finance Councils

Notification of Injury – Student Insurance

Parish Finance Council Verification Form

Procedure for creating a Parish Website

Resources and Forms for use with Electronic Communication and Technology (English)

Resources and Forms for use with Electronic Communication and Technology (Spanish)

Sacramental Norms 3/2015

Verification Form for use with Electronic Communication and Technology (English)

Verification Form for use with Electronic Communication and Technology (Spanish)