2026 Clergy Move Intake Form

  • 2026 Clergy Move Intake Form

  • Please complete this form to determine if you are eligible for a move stipend, mileage and per diem reimbursements, or supplemental grants (if applicable). Do not use this form to submit receipts for reimbursement.

    If you have any questions about this form, please contact the District Administrator of your receiving district.

  • Format: (000) 000-0000.
  • Do you have housing needs related to a disability?*
  • Is this a clergy couple move?*

  • Clergy moving from Active to Retired

  • If this is a retiring clergy couple move, did your spouse retire before you and receive moving expense reimbursement from the Conference?
  • For clergy moving from Active to Retired, what is the retirement effective date?
     - -

  • Current Appointment Information

  • Current Residence*
  • If you are not currently living in the parsonage, does the church have a parsonage?

  • New Appointment Information

  • Are you moving to the Horizon Texas Conference from another Annual Conference to take the new appointment?
  • My new appointment is to

  • If you are serving more than one church, please enter the address of the primary church in the charge.

    If you are serving a church and an extension, please enter the address of the church.

  • Does the new appointment offer a parsonage?*

  • Time and Miles Condition (complete only if applicable)

  • This section only applies to clergy who currently live in a residence they own/rent/lease and the new appointment does not offer a parsonage.

    To be eligible for move benefits, the new appointment needs to be greater than 25 miles from your current residence, OR driving time to the appointment is regularly more than 60 minutes.

  • Move Details

  • Move Date ( if known)
     - -
  • Move Type*

  • Signature and Submission Information

  • If you are not ready to submit this form for approval, click the "Save and Continue Later" button. PLEASE NOTE: You will get an email confirmation with a link to edit the form. Please use that link to open this partially completed form for editing.

    When you are ready to submit the form, please check the box below to display the "Submit Intake Form for Approval" button. Sign the form before submitting it for approval. Once you submit the form, it cannot be edited.

    When your form has been reviewed, you will get an email with next steps. If you have any questions, please reach out to your receiving District office.

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