Forms
-
Insurance - Summary Plan Descriptions
2017 Open Enrollment Benefit Summary
Base Medical plan Description
Enhanced Medical Plan Description
Dental Base Description
Dental Enhanced Plan Description
Vision Plan
VSP Benefit Summary
Flexible Benefits Plan Summary
Basic Group Life insurance ($50,000)
Voluntary Life and A&D
Long Term Care Plan
Long Term Disability Plan
Short Term Disability Plan
Prescription Drug List (1/1/2017)
Prescription Drug List (7/1/2017) -
HR & Insurance Forms
Attendance Sheet
Bi-Monthly Time Sheet
403 B Booklet
403 B Account Opening Form
403 B Beneficiary Form
Employee Status Change Form (PT to FT)
Employee Status Change Form (FT to PT)
New Hire All Employees' Packet
New Hire Benefit Packet (FT)
New Hire Benefit Packet (PT)
Claim Incident Report - Liability & Property
Conference Report
Corrective Action Form
Direct Deposit Form
Education First Credit Union Member Guide
Employee Evaluation Form
Employee Change Form -- Qualifying Event
Employee Policy Manual
Employment Letter of Understanding
I-9 Homeland Security Form
I-9 Homeland Security Form Instructions
Notice of Resignation: Diocesan Offices
Notice of Resignation: Parishes
Notice of Resignation: School Laity
Ohio New Hire Reporting Form
Payroll Deduction Form
Personal Information Change Form
PTO Request
Short Term Disability Form
Spousal Form
2018 W4 Federal Tax Form
IT-4 Ohio Tax Form
W-C Incident Report
Special Events Form
*Annual Open Enrollment Period is at the Diocese’s discretion.