Forms for Current Employees

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
Benefit Enrollment Form
Central Registry Check for Child Care Staff
Employee Enrollment Form Checklist
Employee Transfer Guide
Payroll ACH Authorization Form
Credit Check Release 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
Reimbursable Medical Expenses

RETIREMENT Beneficiary Designation Form

401k Beneficiary Designation
401k Salary Deferral

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
Employee’s Statement

RELIANCE STANDARD Long-term and short-term disability applications

Life Insurance
Long-term disability and Group Life-Wavier of Premium
Short-term disability
Enrollment and Statement of Health

FMLA Family and Medical Leave Act Click here for more information