Associate Resources

Welcome, St. Joseph Hospital Associates!
As an important part of our team, we value your expertise and service to St. Joe. That’s why we’re building this special section of our Web site especially for you.This special section is evolving, so keep checking back for additional postings. Please let us know if there is anything else that you would like to see incorporated in this section. Thank you for your continued dedication to St. Joseph Hospital and our community.

Downloadable Forms
The forms contained in this section are intended for use by St. Joseph Hospital associates. To view these documents, you’ll need the free Adobe Acrobat Reader.

Associate Information
Application for Transfer

Insurance Forms
Dental Benefits—Claim Instructions
Flexible Spending Account Claim Form

Payroll and Tax Forms
PTO Cash Out Option Form
Payroll Direct Deposit Authorization
Payroll Direct Deposit Information
Department of Treasury—Internal Revenue Service Form W-4 (2008)
State of Indiana—Employee's Withholding Exemption and County Status Certificate (WH-4)

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LUTHERAN HEALTH NETWORK
BLUFFTON REGIONAL MEDICAL CENTER | DUKES MEMORIAL HOSPITAL | DUPONT HOSPITAL* | KOSCIUSKO COMMUNITY HOSPITAL*
LUTHERAN HEALTH PHYSICIANS | LUTHERAN HOSPITAL* | MEDSTAT | THE ORTHOPEDIC HOSPITAL* | REDIMED | REHABILITATION HOSPITAL*
ST. JOSEPH HOSPITAL*

*A physician owned hospital.

If you are experiencing a medical emergency, call 911.
*ER wait times are door to clinical professional and can change quickly depending on the urgency of patients that arrive by ambulance. Lutheran Health Network provides care to patients with life-threatening illnesses first.
Patients are seen in order of severity, therefore, your spot may not be guaranteed. In case of a life-threatening emergency, call 911.
St. Joseph Hospital is owned in part by physicians.
Patient results may vary. Consult your physician about the benefits and risks of any surgical procedure or treatment.