SAFE ENVIRONMENT--Policies and Related Forms

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Diocesan Policy for Activities Involving Minors & Vulnerable Adults

** Form A: Permission Form/Liability Release and Emergency Medical Release and Health Information for Minors
** Form B:Emergency Medical Release and Health Information for Adults
** Form C: Activity Information Form and Liability Release
** Forms D-1, D-2, D-3: Children/Youth Codes of Conduct
** 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 (NO MONEY--diocese pays costs) TO:
                   SAFE ENVIRONMENT OFFICE, 600 Locust St., Owensboro,  42301

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

Requisitos de Las Pólizas que Involucran Menores de Edad e Individuos Vulnerables

** Forma A: Forma de Permiso y Liberación de Responsabilidad y Liberación de Responsabilidad Médica en Emergencias e Información de Salud para Menores de Edad
** Forma B:  Forma de Permiso y Liberación de Responsabilidad Médica para Emergencias e
Información de Salud para Adultos

** Forma CForma de Información de Actividad / Liberación de Responsabilidad
** Formas D-1, D-2, D-3:  Códigos de Conducta para Menores de Edad
** Formas D-4, D-5: Códigos de Conducta para Adultos (D-4: Adultos Supervisores; D-5: Adultos Participantes o Adultos No Supervisores)
** Forma E: Forma para Choferes Voluntarios
** Forma E-1: Cobertura y Responsabilidad para Vehículos Rentados
** Forma F: Forma para Reportar Incidentes
** Forma G:  Mira las Normas de Abuso Sexual  abajo
** Forma H: Forma para Reportar el Abuso
** Forma I: Aviso Confidencial de Preocupación
** Formas J y K:  Formas para la Investigación Criminal
       ENVIA TODAS LAS FORMAS (Diócesis paga costos--No envia ninguno dinero) A:
            SAFE ENVIRONMENT OFFICE, 600 Locust St., Owensboro,  42301
 
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
Normas y Procedimientos en Materia de Abuso Sexual para la Diócesis

** Forma G: Reconocimiento del Recibo del Resumen de las Pólizas y Procedimientos del Abuso Sexual
Formulario de la Denuncia de Abuso Sexual
U.S. Bishops' "Charter for the Protection of Children & Young People" Estatuto para la Protección de Niños y Jóvenes
"Essential Norms for Diocesan/Eparchial Policies Dealing with Allegations of Sexual Abuse of Minors by Priests or Deacons" "Normas Básicas para Reglamentos Diocesanos/Eparquiales Que Traten
de Imputaciones de Abuso Sexual de Menores Cometido por Sacerdotes o Diáconos"


OTHER AIDS FOR PRIESTS AND PARISH/SCHOOL SAFE ENVIRONMENT CONTACTS
Sexual Abuse Policy Receipt Acknowledgement for Clergy
Community Contact Form:  Write in local telephone numbers, and make sure any staff people feel comfortable using it to handle questions and concerns
Pastor's Annual Review Form:
Testimonials of Suitability: for use with Individuals from Other Dioceses When They Are Not Expected to Submit to Our Safe Environment Policies

Directions for Facilitator of a Safe Environment Training (English language)   (Bilingual-Eng/Sp.)
Facilitator's Script for a Safe Environment Training  (English language)   (Bilingual-Eng/Sp.)
Miscellaneous Forms for Training Program Facilitator (English language)    (Spanish language)