Safe Environment Forms

Attestation of Good Moral Character
For VPK/Pre-School Employees/Summer Camp DCF background screening. Must sign.

Appeal Process
The process to appeal a non-approved status for employment or volunteering.

Appeal Process Form
Form to submit to appeal a non-approved status for employment or volunteering.

Code of Conduct Acknowledgement and Agreement Form
To be signed when in receipt of Code of Conduct and agreement of code.

Credit Check Form/FCRA Bill of Rights
If an employee/volunteer will be handling money or credit cards a credit check form must be signed, completed, processed and approved. A summary of your Rights under the Fair Credit Reporting Act.

Flyer for Assistance for Victims of Sexual Abuse
Download, print and post this flyer in a well traveled area of your site. You may also post this information online.

MVR-Driver Form
If an employee/volunteer will be driving on behalf of this Diocese, their MVR(Motor Vehicle Report) must be approved. 
Attach a copy of your driver’s license AND the Declaration Page from your insurance company showing the required amount of liability on the vehicle you will be driving. (Insurance ID cards are not accepted as they do not provide the amount of liability)

• Amount of liability for driving children/students is minimum of $100,000/$300,000  (to be renewed annually) 
• Amount of liability for driving personal vehicle for employment or volunteering purpose is minimum of $50,000/$100,000 (to be renewed every 3 years)
• To only drive a Diocesan Vehicle you will need a MVR Form approved (to be renewed every 3 years)

MVR are to be completed, signed and sent to HR@ptdiocese.org by the parish/school for processing and approval.

Disqualification list for driving:

 

• More than 6 points on license within the last 3 years.
• No one under 21 years old may drive a diocesan vehicle.
• No one under 25 years old may drive children/students.
• Florida license. (out of state drivers moving to FL are required by law to obtain a FL license within 10 days after moving with the exception of active military personnel)
• Guilty of a DUI/DWI within the last 5 years.
• Suspended or revoked status.
• Notification will be sent to the site’s pastor, principal or designated person if a driver comes back as “non-approved” and the data will be submitted into the safe environment database by the Human Resource Department for future reference.

• The Office of Safe Environment checks the driving records of all drivers whose information is submitted, but because of confidentiality issues, we cannot share that information but only communicate the results based on the agreed upon criteria as to approved and non-approved.  If the driver would like to obtain a copy of his/her driving records he/she should contact the State of FL Motor Vehicle Division directly.

 

Policy and Procedural Guidelines relating to Screening of Church Personnel
What an adult should do before you may begin employment or volunteer within the Diocese of Pensacola-Tallahassee. What an adult should do if already employed or volunteer within the Diocese of Pensacola-Tallahassee.

Privacy Policy Acknowledgement
For DCF VPK/Pre-School Employees/Summer Camp DCF background screening. Must sign.

To Report Sexual Misconduct by Church Personnel
For use by anyone wishing to file a report of sexual misconduct by Church personnel or volunteers.

VECHS Waiver Form
Must be signed and sent to the Office of Safe Environment/HR Dept. by all employees and volunteers that are fingerprinted for VECHS, DCF and/or summer camps, giving permission for a background check/fingerprinting to be completed. This form is not a background check form.  A volunteer or employee must still complete the process through their own parish, school or diocesan site office.