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The figures entered on this worksheet will be used by the District Administrative Assistant to compl 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the 'PASTOR NAME' field. If you are unsure of your conference relationship, leave that section blank.
  3. Indicate your status by selecting one of the options: Full-time, Part-time, ¾ Time, or ½ Time. If part-time, specify the percentage.
  4. For multi-point charges, list the church names and corresponding salaries in the designated fields.
  5. Fill in your base compensation amount without including health insurance allowances. Provide details for any cash allowances paid to you as a pastor.
  6. Answer whether your church provides funds for health insurance or other benefits if applicable.
  7. Complete optional insurance selections based on your coverage preferences and ensure to check only one option per category.
  8. Input UMPIP contributions as required and provide housing-related information accurately.

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