Wufoo

Terms of Call Report - 2009

Please complete and submit a separate form for every INSTALLED minister on staff.

Name of Church *
LAST Name of Minister *
Position (choose one) *
Pastor or Co-Pastor Associate Pastor Designated Pastor Designated Associate Pastor Certified Christian Educator
Is this a full-time Position *
Yes No
If not, number of hours per week
Annual Compensation

Refer to Board of Pensions Change of Salary Form ENR-111 for definitions.
Cash Salary [Line 1 on ENR-111] *
Housing Allowance [Line 2 on ENR-111] *
Other [total Lines 3-5 on ENR-111] *
Manse Allowance [Line 6 on ENR-111]
TOTAL ANNUAL EFFECTIVE SALARY *
Reimbursable Allowances
Auto reimbursement at IRS maximum rate *
Continuing Education *
Other (e.g. Social Security offset less than 50%; other vouchered allowances)
Time Allowances
Vacation *
Study Leave *
Attestation
Date of compensation review with minister * MM / DD / YYYY
Date Session approved terms * MM / DD / YYYY
Date congregation approved terms MM / DD / YYYY
FULL Name of Clerk of the Session *
Notes
Use this space for additional information or comments about this form.
Do Not Fill This Out
Do Not Fill This Out