The following safe environment documents and forms are for 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
Form B: 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
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: Form G has been updated and the “Acknowledgement of Receipt” listed below must now be used.
Form H: Abuse Report
Form I: Confidential Notice of Concern
Forms J & K: Background Check Forms
Submit all forms and a $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
Acknowledgement of Receipt of Diocese of Owensboro Revised Sexual Abuse Policy and Procedures