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Diocese of Owensboro

Safe Environment

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 for Diocesan/Eparchial Policies Dealing with Allegations of Sexual Abuse of Minors by Priests or Deacons"