smallfacebook smalltwittersmallyoutubenewsletter1404 East 9th Street, Cleveland, OH 44114
Phone: (216) 696-6525 or 1-800-869-6525 Toll Free in Ohio.  Email:info@dioceseofcleveland.org

Forms and Information Print E-mail

Downloadable Forms and Information

Below are various forms which can either be downloaded or viewed within your browser. These forms are in Adobe PDF format and you need to have Adobe Acrobat Reader installed on your computer to properly view and print the forms. If you do not have Adobe Acrobat Reader installed, please click here to download and install the latest version.

 

Finance Office
Reporting Requirements for Raffles
Parish Carnival Planning Checklist
Bingo Policy Reminder - Coming Soon
Bingo Notice - Coming Soon

Priest Salary Guidelines 2011-2012

 

 

Human Resources

Employment Application

Payroll Form IT-4

Payroll Form I-9

Payroll Direct Deposit Form

Payroll - RTA Customer Advantage Program 2006

Payroll - Form W-4

 

 

Health Benefits Office

Health Care Plans 2013-2014

Health Benefits Open Enrollment Bulletin 2013 – 2014

Kaiser Permanente HMO Summary of Benefits and Coverage (Clergy, Religious, Lay, Deacons)

SuperMed PPO Summary of Benefits and Coverage (Clergy)

SuperMed PPO Summary of Benefits and Coverage (Religious, Lay, Deacons)

SuperMed HMO Summary of Benefits and Coverage (Clergy)

SuperMed HMO Summary of Benefits and Coverage (Religious, Lay, Deacons)

Dental Comparison Chart

Health Care Plans - Enrollment/Change Form

Termination of Coverage Form

Health Benefits Waiver Form

CVS Caremark Mail Service Order Form

MetLife Dental Claim Form

Medical Mutual Health Insurance Claim Form

 

 

Workers' Compensation Office
Click here to view the claim procedures involving the forms below.
Certificate of Employer's Right to Pay Compensation Directly (Feb 2013-2014) 

First Report of Injury

Incident Report

Medical Release Forms

Wage Statements

Light Duty Request Forms

 

 

Property and Casualty Office
Disc Master Insurance Plan

Confidential Incident Report 

Special Events Liability Insurance Application

Vehicle Accident & Damage Report

MVR Request Form

 

 

Group Life Office
Group Life Insurance Plan for Active Employees

Group Life Beneficiaries Form

 

 

Lay Employee's Pension Plan Office
Pension Plan Booklet

Pension Add/Delete Form 

 

 

Short-Term Disability Plan Office
Weekly Disability Benefits Program

Disability Claim Form

 

 

Retirement Life Plan Office
Retirement Life Insurance Program

 

yofweblogo

 

Language Translator


bottom_logo

Catholic Diocese of Cleveland

1404 East 9th Street, Cleveland, OH 44114
(216) 696-6525  or 1-800-869-6525 Toll Free in Ohio.
Email: info@dioceseofcleveland.org

Ways to Give

Catholic News

A to Z Index

Faith Resources

Being Catholic