Pastoral Office for Administration Forms

Adult Hold Harmless/Indemnity Agreement Form

Facilities Usage Agreement Form

Flexible Spending Account Claim Form

IN Worker's Compensation First Report of Employee Injury, Illness Form

For current policy information contact the Pastoral Office for Administration 765-742-4852

Medical Insurance Claim Form

Pension Enrollment Form

Pension Waiver Form

Special Events Coverage Form

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©2008 Diocese of Lafayette-in-Indiana