Applications

EMPLOYMENT APPLICATION – Revised 10/19
Volunteer Application -ENGLISH
Volunteer Application – SPANISH-Solicitud Para Voluntarios
 

New Hire

Personnel Transaction-Catholic Charities
Personnel Transaction Form School and Parish-0711
New Employee Checklist 2016
Symetra Beneficiary Form
1 OE Medical Plan Authorization Change Form 2017
1A OE Monthly Cost Share 2017
2017 W4 (Federal Withholding) Form
2017 DE4 (CA State Withholding) Form
2018-2019 I-9 Eligibility Form
RCB – Flex – Complete Employee Packet- Jul 2017
New Employee Email Form
Notice of Privacy Practices 070114
Diocese of Stockton Family and Medical Leaves of Absence
Diocese of Stockton Continuation of Benefits
What Is Workers Comp – Employee Fact Sheet
Notice to Employees English and Spanish 070116
6 VOL LIFE Customized Enrollment Form
6B VOL LIFE Decline Enroll Form
6C VOL LIFE Evidence of Insurability Form
2 – Flex Spending Form
Consumer Privacy Statement 2015
Annual Legal Notice with CHIP Cred Covg and Marketplace Notice
Emergency Evacuation Plan 10/14/16
 

Medical Insurance

Enrollment 2014 Universal Enrollment Form
Diocese of Stockton Summary of Benefits SOB 2016

Diocese of Stockton SPD Final 2014

 

Diocese of Stockton Summary of Benefits SOB 2017 -2018
Diocese of Stockton Summary of Benefits-Coverage SBC 2017
PlushCare Overview Brochure 0316 A
PlushCare Overview Brochure 0316 B
 

Dental Insurance

PREMIER Enrollment Form
PREMIER ACCESS SCHEDULE OF BENEFITS 2016
PREMIER DENTAL SPD 2016-2017
A Student Certification Form
PREMIER ACCESS PPO Certificate of Insurance 2013
 

Vision Insurance

Enrollment: 2014 Universal Enrollment Form
Superior Vision Northern CA Providers
A Student Certification Form
 

Wellness Information

DOS 2017 Delta TeamCare Introduction Letter
DOS 2017-18 Wellness Flyer
DOS Physician Screening Form
DOS Wellness Portal Instructions 2017-18
 

Flexible Spending Accounts

2 – Flex Spending Form
RCB – Flex – Complete Employee Packet- Jul 2017
RCB – Flex – SPD – Jul 2016
Flexible Spending Claim Form 2017
 

Symetra

CoreLife/LTD Policies/Coverage

POLICY Life E-Cert Class 1 NB 0714
POLICY LTD E-Cert Class 1 NB CLERGY 0714
POLICY LTD E-Cert Class 2 NB LAY 0714
EMP CORE LIFE Benefit Summary 2015
EMP CORE LTD Benefit Summary Lay EE's 2015
EMP CORE LTD Benefit Summary Priests 2015
 

Voluntary Life

6 VOL LIFE Customized Enrollment Form
6B Voluntary Life Rates Accept/Decline Enroll Form
EMP VOL LIFE Benefit Summary 2015
Symetra Beneficiary Form
Evidence of Insurability Symetra
 

Pension Plan

Lay Pension Beneficiary Designation Form
 

Evaluation and Development

Performance Evaluation and Development Plan Rev 3-12-12
 

Exit Interview

Exit Interview
New Employee Email Form

 

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