Download the form above and submit according to the directions.

OR fill out the form below and submit. Your information will be electronically submitted to the presbytery office.

Acknowledgment of Review
for Session

Sexual Misconduct Form

I hereby acknowledge that the Session of
Presbyterian Church in
Iowa received a copy of Policy and Procedure on Sexual Misconduct of
the Presbytery of North Central Iowa, Presbyterian Church (U.S.A.) dated September 19, 1992 and revised November 14, 1998; revised June 9, 2007; that the Session has read the policy, understands its meaning, and agrees to conduct itself in accordance with the policy.
(Printed Name)(Required)
MM slash DD slash YYYY
This policy is to be reviewed annually by each session. This affirmation is to be signed and submitted to the Presbytery office.
Please return to: Presbytery Office Lakeshore Center at Okoboji 1864 Hwy. 86 Milford, IA 51351