Risk Management

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The Risk Management office promotes the protection of physical and human assets of the Archdiocese by assisting locations in controlling losses, responding to claims and creating a culture of awareness.

The protections and services are provided through a combination of self-insurance programs and broad umbrella-type insurance policies. Bringing together our large number of locations under these programs allows for economies of scale in administration, services and products.

Insurance Coverages

Certificate of Insurance Request

Gallagher Bassett Services, Inc. assists the Archdiocese of Cincinnati in providing copies of Certificate of Insurance for verification of either Liability or Property Insurance coverage.

To obtain the documentation please fill out & submit the Certificate of Insurance Request form below.

Direct questions to: Traci Zuk: [email protected] or 224-366-1621

Certificate of Insurance Request Form

Date*
MM slash DD slash YYYY
ARCHOFC-01*
- Yes
Be sure to mark the circle next to yes - it is a required field.
Your Name*
First Last
Your Parish/School/Entity*
Your Email*
Your Phone*
Name of Organization/Business requesting certificate*
Address of Organization Requesting Certificate*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
What type of Certificate is being requested?*
- Certificate of Liability Insurance
- Certificate of Property Insurance
- Unsure of what type is needed
Name of Function/Event
Description of Function/Event
Location of Function/Event
Date Function/Event is to begin
MM slash DD slash YYYY
Date Function/Event is to end
MM slash DD slash YYYY
Will alcohol be served at the Function/Event?
- Yes
- No
Are there special requirements to be included on Certificate? For example does an additional insured need to be listed? If so please provide details:
Description of property if applicable, please provide make, model serial #, lease#, loan#

How to Report a Claim - Property Damage or Liability Issue

As soon as possible call:

The Archdiocese of Cincinnati

Claim Reporting Number: 833-273-5479

Performance Purchase Agreement Form

Click on the title below to download the specific form:

1.Performance Purchase Agreement

Permission Slip - Waiver Forms

Click on the title below to download the specific form:

Safety Awareness-Risk Analysis Form

Click here to download/print a copy of the 2022-2023 Safety Awareness/Risk Analysis form.

Accident Report Form

Click on this link to download/print an Accident Report form.

In addition to having policies, procedures and training on the prevention of slip, trip and fall accidents, it is also important to be prepared to respond to these incidents. Development of a formal policy and conducting training on how to respond to a slip, trip and fall accident will go a long way in providing immediate assistance to the injured person and reducing claims costs and the possibility of potential legal recourse.

1. Offer assistance

Determine if the person is injured or requires medical attention. Call 911 if needed. Do not make statements about cause, responsibility or blame, and do not make promises about payment for medical bills.

2. Document the slip and fall incident

It’s a good idea to document the details of the incident in case you need them later, even if the person doesn’t appear injured. For a nonemployee, record the person’s full name, address and contact information. If possible, immediately inspect the area with the affected person to determine the location and identify possible causes. Create a written account of facts, take photos and, if available, find video surveillance footage. Document the type and condition of footwear worn by the affected person.

3. Report the slip and fall incident

Report the loss by calling 833.273.5479 as soon as possible. If the affected person is an employee, follow your standard workers’ compensation procedures, including a first report of injury form.

4. Investigate the slip and fall accident

Look for the root cause.

- Physical hazards or unsafe conditions—Physical or environmental factors that contribute to a slip or fall, such as a leaky roof that causes water to pool on the floor or a patch of black ice in the parking lot.
- Human behaviors or unsafe acts—Poor decisions that may contribute to an accident. Examples include not cleaning up a spill, not straightening a buckled floor mat or texting while walking.

Avoid placing blame on the employee or affected person, and don’t automatically jump to the conclusion that the accident was caused by unsafe behavior. Most importantly, your accident investigation process should include corrective actions to reduce the potential for future accidents. (Source: BPIC, Spring 2023)

Direct Questions to:

Bill Maly

Phone: (513) 263-3354
Fax: (513) 421-6225

[email protected]

Jeannine Frank

Phone: (513) 263-3358
Fax: (513) 421-6225

[email protected]

Gregg Marino

Phone: (513) 263-6678
Fax: (513) 421-6225

[email protected]

Risk management

Insurance Coverages

Certificate of Insurance Request Form

The Archdiocese of Cincinnati

Claim Reporting Number: 833-273-5479

1. Offer assistance

2. Document the slip and fall incident

3. Report the slip and fall incident

4. Investigate the slip and fall accident

Physical hazards or unsafe conditions—Physical or environmental factors that contribute to a slip or fall, such as a leaky roof that causes water to pool on the floor or a patch of black ice in the parking lot.

Human behaviors or unsafe acts—Poor decisions that may contribute to an accident. Examples include not cleaning up a spill, not straightening a buckled floor mat or texting while walking.

Direct Questions to: