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Ohio Conference Courtesy / Locally Hired Payroll Forms

Welcome to the Ohio Conference Team! Thank you for your dedication and service to our various conference entities.

Please note that as a locally hired employee, one of the most important things we need you to complete is a background check, and in some cases fingerprinting. CLICK HERE TO LEARN MORE

Below are other forms and materials you may require as a courtesy payroll or locally hired employee in the Ohio Conference:

(Looking for more detailed instructions? Please click here.)

     Courtesy Payroll Agreement Form (PDF)

     NAD Health Insurance Benefit Enrollment Form (PDF)
     NAD Health Insurance Benefit Change Form (PDF)
     NAD Employee Form to DECLINE Coverage (PDF)


Supplemental life insurance is available and provided by VOYA.  VOYA only offers enrollment upon the hiring of new employees and during periodic open enrollment periods (of which we will notify you as they occur).  This is available to all Ohio Conference employees, whether full-time, part-time, or locally funded by a church or school.

VOYA offers a calculator to help determine your life insurance needs. Click here to use.

Basic-Supplemental Life and LTD Enrollment Form (Required for new hires and late enrollees)
[English - Spanish - French]

Accidential Death & Dismemberment Claim Form (PDF)

     Federal I-9 Form (PDF)
     Ohio IT-4 Form
     Federal W-4 Form
     Ohio New Hire Form (PDF)

     2017 Payroll Calendar (PDF)
     Payroll Direct Deposit Form
     Hourly Time Sheet (MS EXCEL)
     Hourly Time Sheet (PDF)

     Adventist Retirement Plan - Enrollment Form (PDF)
     Adventist Retirement Deferral Change Form (PDF)


All background checks are performed by Verified Volunteers
Please click on this link and complete the mandatory online educational training. English and Spanish options available.

Please remember to select the COLUMBIA Union level, and the OHIO Conference.

What IS Verified Volunteers Child Protection Screening? Read this overview. (PDF)
Verified Volunteers step-by-step instruction sheet (PDF)
Videos (employee | volunteer | conference) explaining this service are available here.

Need fingerprinting? Please note it is an employment requirement for all personnel working with children.

All requests for Ohio Civilian Background Checks must be submitted electronically through the use of the organization WebCheck.  To locate a WebCheck location in your community, please click here and remember to select a county or ZIP code from the listings provided. 

Be sure to provide the following Agency information once you are there:
Ohio Conference
P.O. Box 1230
Mount Vernon, OH  43050

Require further information? Please feel free to email the treasury department.