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- Clergy/Minister Status*
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- Select Status*
- Are You Eligible for Health Benefits?*
- If yes above, do you choose to waive your health benefit eligibility? (Waiver document must be on file.)
- Are you Eligible for Retirement Benefits?*
- If yes above, do you choose to waive your retirement eligibility? (Waiver document must be on file.)
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- A. Do You Live in a Parsonage provided by any church you are appointed to?*
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- Should be Empty: