Documents and Forms
Below are the various documents and forms for the departments and ministries of the Jackson Catholic Diocese.
ADMINISTRATION AND FINANCE
Employee Benefits
- Catholic Diocese of Jackson Health Protection Plan
- Enrollment and Termination Forms:
BCBSMS Enrollment Form
BCBSMS Change Form
Notification of COBRA Qualifying Event
Notification of COBRA Qualifying Event – Instructions
- Enrollment and Termination Forms:
- Family Medical Leave Act Documents:
Fact Sheet #28: The FMLA of 1993
Notice of Eligibility and Rights & Responsibilities
Designation Notice
Certification of Health Care Provider for Family Member’s Serious Health Condition
Notice of Privacy Practices
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Retirement FAQ’S
Application Package
Instructions for Completing Application Package
Form #4 – Participant Application Form
Form #5 – Beneficiary Designation Form
Form #6 – Notice of Pre-Retirement Survivor Annuity
Form #7 – Election to Waive Pre-Retirement Survivor Annuity
Termination Package
Instructions for Completing Termination Package
Form #8 - Notice of Termination of Employment
Form #9 – Election of Benefits
Form #10 – Notice of Joint and Survivor Annuity
Form #11 – Election to Waive Joint and Survivor Annuity
Form #12 - Special Tax Notice Regarding Plan Payments
Form #14 – Federal Income Tax Withholding From Non-Periodic Payments
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AUDIO/VISUAL
CHANCELLOR/VICAR GENERAL
- Status Animarum Report (pdf file)
- Status Animarum Report (word document)
- Bishop's Letter
CURSILLO MOVEMENT
FAITH FORMATION
Lay Ecclesial Ministers & Pastoral Ministers Certification Program
- Lay Ministry Formation - Catechist Certification - Adult Enrichment
- Spring Hill Masters Program (Jackson Program Site)
- Loyola Institute for Ministry (Jackson Extension Program)
PROTECTION OF CHILDREN
PROTECTION OF CHILDREN
Safe Environment Educational Websites:
Federal Bureau of Investigation Websites:
Kids Page: Kindergarten-5th grade
FBI Youth Site: Grades 6th through 12th
A Parents' Guide to Internet Safety
Federal Trade Commission OnGuardOnline Toolkit
IKeepSafe Internet Safety Coalition
Mississippi Sex Offender Registry Search
National Crime Prevention Council
NCPC
McGruff
National Cyber Security Alliance
The Role of Educators in Preventing and Responding to Child Abuse and Neglect
USCCB Office of Child and Youth Protection
Niños en escuelas católicas aprenden a protegerse de posibles abusos
USCCB: Bishop's Child Protection Office Safe Environment Information
• Statement Concerning Rev. Robert Olivier January 4, 2007
• Phillips' Statement November 7, 2006
• Phillips' Statement June 6, 2006
• Statement of Bishop Joseph Latino Regarding the Settlement with Victims of Sexual Abuse by Priests, March 16, 2006
• Joint Settlement Statement, March 16, 2006
• Statement Concerning William Wiebler, January 17, 2006
• Statement Concerning Mr. William Heller & SNAP mailing, August 26, 2005
• Statement Concerning James Trichell, August 25, 2005
• Discovery Issues Statement, August 12, 2005
• Supreme Court Decision in Morrison Case, May 5, 2005
• Statement Regarding Supreme Court Case – December 13, 2004
• Statement concerning Angie Phillips
• Statement regarding Reverend James Stein
• Statement regarding SNAP’s July 28 Press Conference
• Brief of Appellants – Morrison
• Final Judgment Dismissing Plaintiff's Claims with Prejudice
Angie Phillips vs Roman Catholic Diocese of Jackson, Mississippi
• July 8, 2004 Statement of the Catholic Diocese of Jackson
Concerning Recent Court Rulings of Judges DeLaughter and Yerger
• Statement Concerning Bill Heller’s Deposition Testimony
Given On May 18, 2004
• John Does 10 and 11 v. The Catholic Diocese of Jackson Et Al.- Statement Concerning the Ruling of the Court on May 17, 2004 Relating to the Scheduled Deposition of Bill Heller, Principal of St. Joseph High School
• Statement of the Catholic Diocese of Jackson Related to the Issuance of Final Judgment in the Mark Belenchia and John Doe 1 Lawsuit
• Statement Concerning Misleading Claims Made by SNAP in an Unsolicited Mail Out (04/02/04)
• Statement on the Resignation of Bernard Cardinal Law (12/13/02)
• Statement on Fr. Arnulfo Arandia
• Statement on George Broussard
• Statement on Morrison Lawsuit Filed June 12, 2002
• Statement on Belenchia-John Doe Complaint Filed July 17, 2002
• Belenchia and Morrison Lawsuits (3/12/03)
• Statement Regarding SNAP's Paid Clarion Ledger Advertisement Published on May 25, 2003
• Judge DeLaughter Statement (10/1/03)
• Complete Opinion (9/29/03)











