1. The 2023 New Hire Form must be completed for all hired employees, and returned to the Office of the Bishop.
   (See bottom of this page for instructions on where to submit)
2. The 2023 Employee Pension Election Form must be completed by all hired employees regardless of full-time or part-time status, and  returned to the Office of the Bishop.
3. The following forms must be completed for all employees eligible for benefits, and returned to the Office of the Bishop. (Click here for more info on eligibility).
   • 2023 New Hire Form
   • CPG Employee New Assignment Notice Form
   • 2023 Employee Enrollment Form (if eligible for benefits)
   • CPG Employee Application For Combined DC Plans (if eligible for benefits)
   • Defined Contribution Retirement Plan Beneficiary Designation Form (if eligible for benefits)
   • CPG Retirement Savings Plan Form (RSVP) (if eligible for benefits)
     (Only required if the eligible employee would like to enroll in an RSVP plan)
4. Review this Safety Manual and keep a signed copy of the receipt in the employee’s file.
5. Complete the  W4 Employee Withholding form, and the CA Withholding Allowance form as required by the IRS. (These forms must be retained in the employee’s file at the congregation)
6. Complete the Wage Theft Notice
7. Complete the I-9 Employment Eligibility Verification form as required by U.S. Citizenship and Immigration Services. (This form must be retained in the employee’s file at the congregation). (Form in Spanish) (Instructions: English| Spanish)
   
8. Ensure Employees are Enrolled in the Church Pension Fund. Both clergy persons and lay employees scheduled to work 1,000 or more compensated hours per year should be enrolled in the Church Pension Fund.
9. Health Insurance Enrollment: All employees scheduled to work 1,000 or more compensated hours per year are eligible for medical and dental insurance.

If your congregation provides State Short-Term Disability Insurance and Unemployment Insurance, the following brochures must be provided to all employees:

• State Short-Term Disability Handout
• Unemployment Insurance Handout – For Your Benefit

Submit New Hire & Benefit Forms via:

Email:
benefits@norcalepiscopal.org

Fax:
916-442-6927

Mail:
Episcopal Diocese of Northern California
c/o Office of the Bishop – Benefits
350 University Avenue, Suite 280
Sacramento, CA 95825