Parish & Employee Forms
For Diocesan Employees
Application for Employment (Ministerial Position)
Application for Employment (Non-Ministerial Position)
Diocesan Employee Policy Manual 3/2022 (English)
Diocesan Employee Policy Manual 3/2022 (Spanish)
Employee Manual Verification Form 11/2017
Priest Verification Form 11/2017
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
Personnel Record Sheet (also used for terminations)
Safe Environment Form (to be filled out by the Parish/School Safe Environment Coordinator)
W-4-2022 Employee’s Withholding Allowance Certificate
WH-4-2022 State of Indiana Employee’s Withholding Exemption and County Status Certification
For Volunteers
High School Coach Application Addendum 7/2019
Volunteer Application 10/31/2018 (In Spanish)
Volunteer Application 7/2021 (English)
Volunteer Personnel Manual 3/2022 (English)
Volunteer Personnel Manual 3/2022 (Spanish)
Volunteer Verification of Receipt of Personnel Manual 1/2018
Volunteer Verification of Receipt of Spanish Personnel Manual 11/2017
Young Person Volunteer Authorization
Summary Plan Documents
403B Retirement Contribution Plan
ARAG- Legal Insurance
Accidental Insurance Plan
Anthem Dental Plan
Anthem High Deductible Plan- HSA Package
Anthem Medical Plan- PPO Package
Anthem Transparency in Coverage Requirement
Anthem Vision Plan
Express Scripts Prescription Coverage-PPO Plan
InfoArmor- Identity Theft
Lay Retirement Plan
NEW Hippa Notice of Privacy Practices
UNUM Life Insurance Plan
UNUM Long Term Disability Plan
Voluntary Short Term Disability Insurance
Insurance and Retirement Forms
403(b) Beneficiary Instructions
403(b) Retirement Savings Plan Enrollment/Change Form (Full-time Employees Only)
Anthem Enrollment/Change Form for Medical, Dental, Vision
Employee Insurance Deductions
Location Insurance Termination Form
Sect 125 (Flexible Spending Account) Reimbursement Form
Unum Additional Life Insurance Enrollment Form
Unum Complementary Life Insurance Enrollment Form
Voluntary Benefits Enrollment Form for Short Term Disability, Legal, Identity
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 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)