Forms

Index of Forms

This document last updated 10-5-2021.

UAR has been updated as of 8-1-2020.

If you are having difficulty with a form try downloading the form to your desktop and then open the form.
Missing numbers represent forms that are no longer available.

Application for
Earl C. Gifford Distinguished Service Award

DSA.doc

DSA.pdf

Send both forms to: R. Dan Cogley 1337 Hanson Street, Reynoldsburg, Ohio 43068

Application for
Capitular Lady of the Year

Capitular Lady.doc

Capitular Lady.pdf

Send both forms to: R. Dan Cogley 1337 Hanson Street, Reynoldsburg, Ohio 43068

Chapter Education Officer Forms

CEO-01 CEO Inspection Report ………………………………………………………………………………………………………………………… 20121205
Completed by the CEO prior to the annual inspection and submitted to the DEO for review. The DEO submits a copy to the Inspecting Officer, the Grand Chapter Education Committee chairman, the chapter, and one for the DEO records.

Chapter Forms

CH-01 Annual Return: Companions the Grand Secretrary will MAIL you the Annual Return. DO NOT use CH-01!!!
Completed by the chapter secretary after the close of the Capitular year on May 31 and submitted to the Grand Secretary by June 30. (With correct, full payment. Submit by June 15 if you wish the Grand Secretary to bill you.)

CH-03 Dispensation Request Form …………………………………………………………………………………………………………………….. 20121205
Form to request a Special Dispensation for any purpose. This form must be completed in full and must be submitted to the DDGHP and upon his approval, he sends it to the Jurisprudence Committee Chairman, who sends it to the Grand High Priest.

CH-04 Election Return ………………………………………………………………………………………………………………………………………. 20190703
Completed by the chapter secretary immediately following the election of officers and a copy then submitted to the Grand Secretary, DDGHP, DEO, District Association and one for the chapter records.

CH-06 Letter of Transmittal – Bylaws Amendment …………………………………………………………………………………………….. 20121205
Form that is submitted together with Chapter Bylaws amendment proposals. This form must be submitted to the Jurisprudence Committee Chairman and not the Grand High Priest. Upon approval by Jurisprudence, it will then be submitted to the GHP.

CH-07a Petition For Restoration ………………………………………………………………………………………………………………………. 20130514
Completed for all restorations to membership for Indefinite Suspension for Non-Payment of Dues.

CH-07b Petition For Restoration – ML ……………………………………………………………………………………………………………… 20130514
Same as above, but designed specifically for a Lodge of Mark Masters.

CH-08 Quarterly Update …………………………………………………………………………………………………………………………………… 20121205
Completed by the chapter secretary on a quarterly basis to the Grand Secretary, to report all membership gains and losses. Submission dates are September 30, December 31, March 20 and May 31.

CH-09 Annual Report for Secretary……………………………………………………………………………………………………………………..20200605

CH-09a Annual Report for Treasurer……………………………………………………………………………………………………………………20190703

CH-09b Uniform Audit Report…………………………………………………………………………………………………………………………..20200801

CH-13a Dispensation for a New Chapter…………………………………………………………………………………………………………….. 20130415
Dispensation to form and open a new chapter of Royal Arch Masons. This form must be submitted in duplicate to the Grand Secretary together with Form 13b and the required $100 fee.

CH-13b Recommendation of Petitioners …………………………………………………………………………………………………………….. 20130415
Required to form a new chapter of Royal Arch Masons. Must be completed by the chapter nearest the place where the new chapter intends to meet. This form must be submitted to the Grand Secretary and also accompany Form 13a and the required $100 fee.

CH-15a Petition for Degrees ……………………………………………………………………………………………………………………………… 20130514
Petition for membership by degrees. This, as do many of these new forms, includes fields for cell numbers, email addresses, hobbies & interests, lady’s name, and other useful information.

CH-16a Petition for Affiliation …………………………………………………………………………………………………………………………… 20130517
Petition for membership by affiliation or re-affiliation. (To a different chapter or the same chapter.) This form must be accompanied by a Demit or Withdrawal form (CH–18) and submitted by the petitioner to the chapter he wishes to join.

CH-16b Petition for Affiliation – ML ………………………………………………………………………………………………………………….. 20130517
Same as above, but designed specifically for a Lodge of Mark Masters.

CH-16c Petition for Affiliation – Plural/Dual ………………………………………………………………………………………………………. 20130517
Petition for membership by affiliation as a Plural member (another Ohio chapter) or a Dual Member (chapter outside of Ohio). This form must be accompanied by a Certificate of Good Standing form (CH–16d).

CH-16d Certificate of Good Standing …………………………………………………………………………………………………………………. 20180531
Issued by the secretary of the companion’s current/original chapter to the secretary of the inquiring chapter. This form is primarily used together with Form CH–16c for Plural or Dual memberships.

CH-17a Petition for Transfer ……………………………………………………………………………………………………………………………… 20130517
Forms 17a through 17d are used for a companion wishing to transfer membership from an Ohio chapter to another Ohio chapter. This Transfer procedure is only valid within Ohio. For other jurisdictions, the Demit (CH–18) and Affiliation (CH–16) procedure must be used. Form 17a is the initial petition for transfer completed by the companion wishing to transfer and is then sent to the secretary of the chapter that he wishes to join.

CH-17b Application for Transfer Certificate ………………………………………………………………………………………………………. 20130418
This form is completed by the chapter secretary of the chapter the companion wishes to join and is then sent to the chapter secretary to which the companion belongs. This form is for the most part simply a “notification of intent.”

CH-17c Notice of Election to Membership ………………………………………………………………………………………………………….. 20130418
Following his election to membership, this form is completed by the chapter secretary of the chapter the companion wishes to join and is then sent to the chapter secretary to which the companion belongs. This form notifies the original chapter that the companion has been elected to membership, pending receipt of the Transfer Certificate (CH–17d).

CH-17d Transfer Certificate ………………………………………………………………………………………………………………………………. 20130715
Completed by the original chapter secretary (after he has received Form CH–17c) and sent to the chapter secretary of the new chapter. This form is not to be sent directly to the transferring companion. This form must include the dates of degrees and a copy of the companion’s Mark.

CH-18 Certificate of Demit or Withdrawal …………………………………………………………………………………………………………. 20130715
This certificate is used when a companion requests to demit or withdraw membership from the chapter. It must be completed in full, with degree dates and a copy of the companion’s mark. This certificate is required if the companion ever wishes to re-affiliate with the same chapter or wishes to affiliate with a different chapter. (Form CH–16 for either case.) If this form was not issued initially, it can be requested at any time in the future if the companion later decides to re-join.

CH-20 Mark Sheet ……………………………………………………………………………………………………………………………………………. 20130715
Given to candidates following the Mark Master degree, to be completed, returned to the chapter and placed in the Mark Book, prior to the candidates receiving the Royal Arch Mason degree.

CH-21 General Summons …………………………………………………………………………………………………………………………………… 20130506
Official summons requiring a companion to appear before the chapter.

CH-22a Six-Month Suspension …………………………………………………………………………………………………………………………… 20130617
Notice of suspension for non-payment of dues six-months after the Annual Convocation.

CH-22b Suspended NPD ……………………………………………………………………………………………………………………………………. 20130617
Notice of indefinite suspension for non-payment of dues four months after first notice.

CH-23 Degree Cast Lists …………………………………………………………………………………………………………………………………… 20130703
Degree cast lists for all Chapter degrees.

CH-24 Sample Meeting Agenda …………………………………………………………………………………………………………………………. 20171707

CH-25 Inspection Agenda ………………………………………………………………………………………………………………………………….. 20202302

District Education Officer Forms

DEO-01 RA Schools Report ……………………………………………………………………………………………………………………………….. 20121205
Completed by the DEO following all schools of instruction and submitted to the Grand Chapter Education Committee chairman by May 15 each year.

Grand Family Forms

GF-01 Getting to Know the Grand Family…………………………………………………………………………………………………………… 20130224
Completed by Grand Officers, Past Grand High Priests, District Deputies and DEO’s.

Miscellaneous Forms

MISC-01 Chapter of Research Petition……………………………………………………………………………………………………………….. 20130125
Petition for the Chapter of Research.

MISC-02 DSA Form ………………………………………………………………………………………………………………………………………….. 20130404
Form for candidates for the Earl C. Gifford Distinguished Service Award. This form should be completed in full and also accompanied by a complete biographical narrative of the candidate’s accomplishments. Note that this information is not retained and must be re-submitted each year for future consideration.

MISC-03 Order of High Priesthood Petition ……………………………………………………………………………………………………… 20190917
Petition for the Order of High Priesthood.