Business Forms
The Business Office for the Diocese of Fort Wayne-South Bend is here to assist the parishes with financial questions and links to many of the forms used in daily operations.
Use the links above and contact us if you have any further questions.
New Hire Forms
For Diocesan Employees
- Application for Employment
- Diocesan Policy Manuals
- Employee Verification of Receipt of Policies and Benefits Manual
New Hire Payroll Packet
- Personnel Record Sheet
- Indiana New Hire Reporting Center
- Authorization Agreement for Automatic Deposits (ACH Credits)
- Immigration and Naturalization Service
- W-4 Employee Witholding Allowance
- WH-4 Indiana Employee Witholding Exemption and County Status
For Volunteers
- Volunteer Application for Employment
- Volunteer Policy Manual
- Volunteer Verification of Receipt of Policy Manual
- Young Person Volunteer Authorization
For Everyone
- Authorization and Release for Background Check Information
- Authorization for Recheck of Indiana Limited Criminal History and other Law Enforcement Background Screening
Group Insurance Plans
Medical Coverage Forms
- Health Benefit Booklet – HSA Package
- Health Benefit Booklet – PPO Package
- Unum Group Life Insurance Enrollment Form
- Unum Additional Life Insurance Enrollment Form
- Anthem Group Insurance Enrollment Form
- Insurance Termination Form
- Anthem Dental Plan
- Anthem Vision Plan
Accidental Coverage
Property and Liability Forms
- Building Report
- Incident Investigation Report for Injuries
- Request for Property and Liability Certififcates
- SCRIP Permission for Child/Ward Delivery of Scrip and Waiver of Claim
- SMP Endorsement Request Form
- Vehicle Endorsement Request Form