Forms for Current Employees


Fifth Third Retirement Services:
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
Whistleblower Report Form
Instructions on Processing New Hires, Terminations, and Transfers
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 and benefit summary Humana Large Group Employee Enrollment Form
Humana Employee Change Form
Humana SBC
Go365 Tutorials, Brochures, Guides and Forms Go365 Member FAQ
Go365 How to Earn Points Guide
Physician Biometric Screening Form
The Little Clinic Biometric Screening Voucher
Humana EAP & Work Life Flyer
AIM Flexible Spending Account form Request for Reimbursement Form
Reimbursable Medical Expenses
RETIREMENT Beneficiary Designation Form Contact your bookkeeper
ClearPath 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
Supplemental Life Insurance
FMLA Family and Medical Leave Act Click here for more information
Families First Coronavirus Response Act
FFRCA Request Form
Information for Terminating or Retiring Employees Basic Benefit Information for all Departing Employees
or Employees No longer Eligible for Benefits
Information for Retiring or Terminating Employees
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