Diocese of Joliet, Illinois

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EMPLOYEE - NEW HIRE

     

     New Hire Check List for Non-Teaching Personnel    

           

     ALL NEW EMPLOYEES

Original forms are to be kept in the employee’s file.

     Employment Inquiry Release

     Employee Information Form

     Federal Withholding W-4

     IL Withholding W-4

     Employment Eligibility Verification I-9
           TO BE FILLED OUT ON FIRST DAY OF EMPLOYMENT - NOT BEFORE

     IDES New Hire Reporting Form (Send report to the State of Illinois as      directed on form.)

     PCN (optional)

   

     FORMS FOR BENEFITTED EMPLOYEES

 

Insurance
Send original to the Chancery, Attn: Mary Jo Monroe

     Group Insurance Enrollment Form (in PDF)

     Health Insurance Portability and Accountability Act (HIPPAA)
     Creditable Coverage Inquiry (in PDF; in Word)    

     Section 125 Premium Only Opt-Out Form  (optional)

 

Pension
See Instruction Sheet for Submitting Form

     Instructions for completing form

     Lay Retirement Plan Notice of Registration or Change in Payroll

     

403(b) (OPTIONAL)
Send original to Christian Brothers Services and a copy to Chancery - Attn: Pam Geary

     Christian Brothers 403(b) - Enrollment/Change (optional)

     Christian Brothers 403(b) - Beneficiary (optional)

    Additional information regarding the 403(b) plan and the Section 125 Premium     Only Plan is available on the Business Manager's Webpage.

 

    

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Agencies and offices are partially or fully funded by
generous donations to the Catholic Ministries Annual Appeal.


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