Safe Environment Frequently Used Forms
Frequently Used Forms
- ENGLISH
- Basic Criminal Background Check (#1)
– FCRA Summary of Rights - Annual Verification of Protect and Heal Training (#2)
- Confidential Questionnaire (#3)
- Student Training Declination Safe Environment Training (#4)
- Parent Verificataion of Training (#5)
- Alternative Vehicle Driver Information Request Form/DPPA Authorization
- Parish Yearly Report
- Basic Criminal Background Check (#1)
- HMONG
- Basic Criminal Background Check (#1) Kev Tso Cai Rau Ntau Ntawv Polis Tshawb Nhriav
- Kev Xyuam Xim Thiab Kev Ruaj Tseg Rau Tub Ntxhais Hluas Tsis Pub Mus
- SPANISH
- Informacion Requirida Para Verificacion de Antecedentes Penales
- Confidential Questionnaire
- Safe Environment’ Estudiantil Rechazo de Formacion
Protect and Heal Program
- Table of Contents
- Parish Protect and Heal Record
- Diocese of La Crosse Protect and Heal Program
- Flow Chart
- Diocese of La Crosse Protect and Heal Poster
Attachments to the Diocese of La Crosse Protect and Heal Program
Reporting an Incident forms
- ENGLISH
- HMONG
- SPANISH
Contact Information
Teresa Brown
Director of Safe Environment
Diocese of La Crosse
PO Box 4004
La Crosse, WI 54602-4004
Telephone: 608-791-2679 | Fax: 608-791-0165
tbrown@diolc.org