Rostered Minister’s Report

Each year, pastors and deacons are asked to complete a Rostered Minister Report to the Bishop and submit the form to the synodical bishop. To access the forms click here. Please use the appropriate form that matches your roster category and status.

In order to fill out this PDF a local copy must be saved or you will lose your work. For detailed instructions on filling out this form which will help you properly fill out and save the form see our  Instructions for Annual Report to Synod Bishop

If you experience technical difficulties with the online form or prefer a paper copy, you may request a blank form to be mailed to you by contacting the Southeastern Iowa Synod Center for Ministry at 319.338.1273 or by e-mailing Lorraine Jordan, Administrative Assistant to the Bishop at [email protected]

Please submit your completed form to Bishop Michael Burk by:

E-mail:  [email protected]

or Mail: 

Bishop Michael Burk
2635 Northgate Drive
Iowa City, IA  52245

Thank you for your time and effort in completing this important form and blessings on your ministries.