ODC Credentials

- Please select your pastor from drop down box below. Your pastor must be on this list to proceed with electronic renewals.
- Please Select Pastor's Name*
- Applicant E-mail*
- Full Name*
  
  First NameMiddle NameLast NameTitle
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Home Phone
- Cell Phone
- Birth Date*
  
  MonthDayYear
- Church Name
- Pastor's Name*
- Type of Credentials and Fee*
- Credential Status
- Position
- Enter PAW Invoice amount $0*
- 5% PROCESSING FEE (automatically generated)
- TOTAL AMOUNT OWED TO PAW (automatically generated)
- YesNoNot Sure
- YesNoNot Sure
- Expires
  
  MonthDayYear
- License/Ordained ID#
- Comments
- Signature-Use computer mouse to sign your name*
  
  Click the word "clear" to your right to sign again
- Pastor Full Name
  
  First NameLast Name
- YES, I approveNo, I do not approve
- If no add comments
- Pastor's Signature- Use computer mouse to sign below.*
  
  Click "clear" to the right to sign again
- Secretary Approval
- Amount Owe
- CREDENTIAL OFFICE USE ONLY
- Type of credentials
- Hardship/Senior
- Processed by
- Amount Due
- Type of payment
- Cashier
- Other
- YesNo
- Should be Empty: