Certification of Compliance

This document is to be completed by the Rector / Priest-in-Charge / Interim / Vicar of each Parish / Mission. This document is due in the Diocesan Office by March 1st of each year, along with other Diocesan Annual Report forms.

Administrative Head Name (Rector/Vicar)(Required)

Church/Congregation(Required)

Parish Admin Email Address(Required)

Enter Email Confirm Email

A copy of this form will be sent to the email address above.

Physical Address

Street Address Address Line 2 City State / Province / Region

PLEASE CHECK APPROPRIATE BOXES:

Certification boxes(Required)

I certify that our vestry / mission board has adopted and will comply with the Diocesan recommendations stated in Policy for Safeguarding Training Programs both mandatory and Bishop’s Recommendations. These recommendations are available on the website; Resources / Resources for Congregations / Safeguarding Program.

I certify that all persons - clergy, paid employees and volunteers - have received the necessary training for their responsibilities as listed in the Policy for Safeguarding Training Programs, and that documentation is in his/her locked personnel file.

I certify that all lay employees have had; (1) A driver’s license background check (2) A state and local criminal background check (either by the Diocese office or the individual church / mission) and that documentation is in his/her locked personnel file or in the locked personnel file in the Diocesan office.

I certify that all new employees are certified in the Safeguarding programs within 30 days of employment

I certify all current employees / volunteers Safeguarding certifications are renewed every 5 years.

Digital Signature (Your Name)(Required)

Additional Email (Optional)

Enter Email Confirm Email

If needed, a separate copy of this form will be sent to the email address above.

Today's Date(Required)

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