PENSION/RETIREMENT FORMS EMPLOYMENT MIND, BODY, AND SPIRIT RESOURCES

EMPLOYMENT APPLICATION | PENSION ENROLLMENT FORM | PENSION CHANGE OF STATUS FORM | HOUSING ALLOWANCE
RETIREMENT APPLICATION | DIRECT DEPOSIT AUTHORIZATION | IRS W4-P WITHHOLDING | IRS W4 WITHHOLDING
PENSION CHANGE OF BENEFICIARY | RETIRAL ASSISTANCE | PARTICIPATION WAIVER
retiral assistance

The Retiral Assistance program is intended to supplement other sources of retirement income for retirees and/or surviving spouses, bringing them to a minimum income level as determined annually by the Board of Administration.  This benefit is available to retired ministers, spouses, widows, or widowers who have served more than 10 years of full time appointed ministry in the Free Methodist Church.

The minimum income levels determined by the Board for 2008 are $10,000 for a single person and $13,000 for a married couple.  Any benefits that you qualify for will be paid to you quarterly.

If you fall below the minimum income levels and think you may qualify, feel free to complete the application below.  For a printable application that you can mail or fax back to us (317-244-1503), click below:

 Retiral Assistance Application - Printable Version

Please note, you will need Adobe Acrobat Reader to view this document.  If you do not have this program, you may download it for free by clicking the link below:


Name of Retired Minister 
Date of Birth 
Is minister living?  Yes No
Is spouse living?  Yes No
Name of spouse of retired minister (if living) 
Date of Birth 
Date of Marriage 
Name of widow/widower of retired minister 
Date of Marriage 
Address for Checks to Be Sent: Street Address 
City 
State 
Zip Code 
Amount of Income - Social Security per year (less Medicare) 
Spouse's Social Security per year (less Medicare) 
Other retirement assistance per year (conference plans, pensions, etc.) 
Other (rents, interest from investments, annuity interest, etc. not gifts) 
Total Income per year 
Number of years in full-time ministry with the FMCNA (if retired minister) 
Number of years spouse was in full-time ministry with the FMCNA (if widow/widower) 
Initials 
By initialing, I hereby certify that the information listed above is correct to the best of my knowledge.
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