Credential Holder's Request for Assistance

Please fill out this form for assistance from the Office of the Jurisdictional Secretary.

CLICK on the submit button to send your request.

Name

*

Email

This address will receive a confirmation email

Phone

*

Address

*

Current Credential

Please check all that apply.

My COGIC Credentials

Please select all that apply.

Administrative Assistant District Superintendent Pastor Ordained Elder Licensed Minister President Missions Dept President Music Dept President YPWW Dept President Evangelist Dept Supt Sunday School Dept YPWW Chairlady Elect Lady Evangelist Dept Sunday School Field Representative District Missionary Evangelist Missionary Deaconess Missionary Assistant Jurisdictional Supervisor Jurisdictional Supervisor Dept of Women Jurisdictional Bishop

Your Local Church Info

To ensure that your request is properly processed, we need to understand your connection to the jurisdiction.

Are You A Member of the Jurisdiction

Please select one option.

YES NO N/A

District

Church Name

Local Pastor

My Request

Let us know what you need help with.

Request

*

Please select one option.

ARC - Help with General Assembly Registration ARC - Please Reset My Password ARC - I need an ARC account. ARC - Please activate my ARC account. ARC - Merge My Duplicate Accounts ARC - I need to TRANSFER my membership to another Jurisdiction. I have not received my National ID Card. My mailing address has changed. My phone number has changed. Please add my name to the mailing list for EMAIL. Please add my name to the mailing list for Regular MAIL. My email address has changed. I have a new local church and pastor. Something Else ... I am a NEW member of Mississippi Southern Second ORDINATION | Study Guide ORDINATION | Applications TRAINING | Licensed Minister

NOTES

If needed, explain what issues you are having.

UPLOAD Documents or Files

If you are requesting assistance with your National ID Card or ARC account, UPLOAD a copy of your latest National ID Card and any other document that will help us to resolve your issue.

National ID Card

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Document #2

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Description

Please fill out this form for assistance from the Office of the Jurisdictional Secretary.

CLICK on the submit button to send your request.

Please Fix the Following

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