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Diocese of Owensboro

Calendar

Documents And Forms - English

SAFE ENVIRONMENT

Policies and Related Forms
Diocesan Policy for Activities Involving Minors & Vulnerable Adults

Form A: Permission Form/Liability Release and Emergency Medical Release and Health Information for Minors

FormB: Emergency Medical Release and Health Information for Adults

Form C: Activity Information Form and Liability Release

Form C-Schools: Permission Form for Field Trips of One School Day or Less

Forms D-1, D-2, D-3: Children/Youth Codes of Conduct

Search and Seizure Policy

Forms D-4, D-5: Adult Codes of Conduct (D-4: Supervisory Adults; D-5: Non-Supervisory Adults and Adult Participants)

Form E: Volunteer Drivers

Form E-1: Liability Coverage for Leased or Hired Vehicles

Form F: Incident Report

Form G: See Diocesan Sexual Abuse Policy box below

Form H: Abuse Report

Form I: Confidential Notice of Concern

Forms J & K: Background Check Forms
SUBMIT ALL FORMS & $10 check payable to KY State Treasurer (If cost is a problem, diocese will pay) TO:
SAFE ENVIRONMENT OFFICE, 600 Locust St., Owensboro, 42301

Form L: Additional Background Check Form for Individual Based at Ft. Campbell

Testimonial of Suitability

Diocesan Sexual Abuse Policy

Summary of Sexual Abuse Policy

Form G: Acknowledgement of Receipt of Summary of Sexual Abuse Policy & Procedures

Informed Consent Form

Sexual Abuse Allegation Form --to report an allegation of sexual abuse by someone acting in the name of the Church

United States Bishops' "Charter for the Protection of Children and Young People . . . & Essential Norms"