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Section 1 of 1
Service Exemption Form
For Pastoral Workers to send names of people exempted from any kind of service to the office. Typically exemptions are for Event Service. To be renewed annually as needed.
Your name
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Name of person being exempted
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What type of service is exempted? (check all that apply)
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Event Service
Primary Service (Please remind the person to contact any ministries this affects)
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add "Other"
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How long does this exemption apply?
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6 months
1 year
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(If applicable) This person should be added to the Permanent Exemption list due to:
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Age
Medical condition/situation
Other (please briefly specify)
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add "Other"
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Notes or comments
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Your name
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Name of person being exempted
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What type of service is exempted? (check all that apply)
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How long does this exemption apply?
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(If applicable) This person should be added to the Permanent Exemption list due to:
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Notes or comments
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