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Archdiocese of Louisville Human Resources
Forms Download Page

For human resources policies, plan descriptions, etc., please click here.

EMPLOYEE FORMS

Various forms needed for new employees as well as existing employees who undergo transfers or other changes

Archdiocese of Louisville Notification of Employee Benefit Change Form
Background Check Authorization Form
Background Check for Child Care Staff
Central Registry Check for Child Care Staff
Employee Enrollment Form Checklist
Employee Transfer Authorization
Payroll ACH Authorization Form

TAX FORMS

Various tax forms needed for employees

Form I-9
Form W-4
KY Form K-4
IN Form WH-4

HUMANA

Enrollment/change forms

Humana Large Group Employee Enrollment Form
Humana Employee Change Form

AIM

Flexible Spending Account forms

Request for Reimbursement Form

RETIREMENT

Beneficiary Designation Form

Retirement Plan Beneficiary Designation Form
Retirement Salary Deferral Agreement

CobraServ

New Employee/Covered Spouse and Qualifying Event forms

New Employee/Covered Spouse Notification Form
Qualifying Event Form

KESA

Required form for reporting an injury for workers' compensation purposes Workers' Compensation First Report of Injury Form

UNUM

Long-term and short-term disability applications

Short-term disability
Long-term disability

Continuation of Life Coverage

FMLA

Family and Medical Leave Act

Click here for more information

Last updated January 2010