Parish & Employee Forms
For Diocesan Employees
Application for Employment (Ministerial Position)
Application for Employment (Non-Ministerial Position)
Diocesan Employee Policy Manual 3/2022 (Spanish) See the English manual below for the current version. Spanish translation is still pending.
Diocesan Employee Policy Manual 5/2023 (English)
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 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 2023
WH 4 State of Indiana Employee’s Withholding Exemption and County Status Certificate 2023
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
Diocesan Employee Benefits Summary Plan Documents
2023-24 Insurance Deductions Per Pay Period
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 (2023)
Anthem Medical Plan – PPO Package (2023)
Anthem Transparency in Coverage 6/2023
Anthem Vision Insurance Plan 6/2023
Express Scripts Prescription Traditional Plan 6/2023
HIPPA Notice of Privacy Practices 6/2023
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 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)