Terms of Call
Form

Church (Name/City):

Pastor's Name:

First Name

Last Name

Type of Pastor:

Status:

Annual Cash Salary:

Housing Allowance:

Board of Pensions:

Board of Pensions Total:

Medical + Pension + D&D

Dental (optional):

Vision/Eyeware (optional):

SECA Supplement/Offset (optional):

Mileage Reimbursement: (only for reimbursement purposes)

Car Allowance:

Professional Expense:

Continuing Education:

Additional Reimbursement - Account #1:

Describe account below

Additional Reimbursement Total - Account #1:

Additional Reimbursement - Account #2:

Describe account below

Additional Reimbursement Total - Account #2:

Weeks of Study Leave:

Presbytery Minimum: 2 weeks

Weeks of Vacation:

Presbytery Minimum: 4 weeks (usually with Sundays)

Sabbatical Provision:

Details here (or note that you will email the policy to the Stated Clerk)

Non-Salary Compensation

Family Leave Provision:

(e.g. Maternity/Paternity Leave) Washington State's Paid Family & Medical Leave (PFML) law provides eligible employees with up to 16 weeks of paid leave

Family Leave Provision:

Details here

Sick Leave Provision:

Washington state law: one hour of paid sick leave for every 40 hours worked.

Name of person submitting this form:

First Name

Last Name

Phone

(###)

###

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Terms of Call Form

Terms of Call
Form