Forms


Official Forms


The following are listings of official forms of The Grand Lodge of Alberta A.F. & A.M. and are intended for the use of Lodges within the jurisdiction.

Form 000-1 | Notice of Candidate Rejection

View Form – May be sent to an applicant when his application for Initiation, Affiliation or Restoration is rejected.

Form 000-2 | Notice of Restoration

View Form – Sent to Grand Lodge Office upon a brother being restored to full membership after suspension for non-payment of Dues.

Form 101 | Declaration of Principles

View Form – Brief instructional literature on the Principles of Freemasonry.

orm 102 | Applicant Information

View Form – Information regarding Freemasonry and its aims and objectives to be supplied to every applicant.

Form 103 | Letter for Potential Applicant

View Form – This letter must be read and signed by any potential applicant prior to them being issued with a Petition for Initiation..

Form 104-106 | Petition for Initiation, Affiliation or Restoration

View Form – This form must be completed in full, signed by the Petitioner and two brethren of the Lodge handling the Petition.

Form 105 | Committee Report on Petition for Initiation

View Form – This form must be completed and returned to the Lodge Secretary prior to Balloting by the Committee of Investigation on a Petition for Initiation.

Form 107 | Committee Report on Petition for Affiliation

View Form – This form must be completed and returned to the Lodge Secretary prior to Balloting by the Committee of Investigation on a Petition for Affiliation.

Form 110 | Notice of Suspension

View Form – Notice sent to member by registered mail when he is suspended for Non-Payment of dues.

Form 111 | Certificate of Good Standing

View Form – This letter certifies that the named member is in “good standing” in the Lodge. It is valid for six months from date of issue.

Form 112 | Demit

View Form – This Certificate is issued when a brother asks for a demit for his withdrawal from a Lodge.

Form 120 | Notice of Arrears

View Form – This letter is sent to a brother, by registered mail, when he is in “arrears” with his annual dues. It is to be sent in the month of October prior to the year end when he will face suspension for non-payment of dues.

Form 124 | Statement of Outstanding Dues

View Form – A simple statement of outstanding dues for a member.

Form 127 | Financial Statement Summary

View Form – Page One ONLY of this form which must be submitted to Grand Lodge by March 15th of the year following the date of the statement. A FULL copy must be sent to the District Deputy Grand Master by the same date.

Form 132 | Notice of Affiliation and Dual Membership

View Form – This form is to be sent to the Lodge(s) which provided the Certificate of Good Standing for a successful Petitioner for Affiliation into a Lodge.

Form 133 | Notice of Affiliation

View Form – This form is to be sent to the Lodge(s) which provided Demit(s) for a successful Petitioner for Affiliation into a Lodge.

Form 160 | Statement of the Work

View Form – This form is to be completed and submitted to the DDGM before March 15th each year. One copy to be retained in Lodge records.

Form 162 | Certificate of Election, Appointment and Installation of Officers

View Form – This certification form of the election or appointment of Lodge Officers and their Installation or Investiture must be submitted to the Grand Lodge Office within 15 days of the Installation.

Forms 163.1-163.3 Condition of Freemasonry

View Form 163.1, View Form 163.2, View Form 163.3 – Condition of Freemasonry forms within the lodge (161.1), district (163.2) and jurisdiction (163.3). These forms are formatted in Excel.

Form 167 | Nomination for Lodge Elective Offices except Tyler

View Form – This form is for use in a Lodge for the nomination for elected office except Tyler, which is elected “from the floor”.

Form 170 | Nomination for Grand Lodge Office or Position

View Form – For use in any elected Grand Lodge Office or Grand Lodge Board or Committee except District Deputy Grand Master. Must be “in the hands” of the Grand Secretary by 12 noon on the last working day of February.

Form 171 | Nomination for District Deputy Grand Master

View Form – For use in the election for District Deputy Grand Master. Must be “in the hands” of the District Nominating Committee Chairman 60 days before the District Meeting.

Form 173 | Certificate of Examination of Master-Elect

View Form – This Certificate must be completed and signed by the Committee elected to examine the Master-elect as to his proficiency. The form must be “in the hands” of the Secretary prior to the commencement of the Installation of Officers.

Form 180 | Petition for Assistance

View Form – Submitted by Lodge’s when seeking financial assistance for a distressed Brother from the Benevolent Fund.

Form 180.2 | Petition for Per Capita Assistance

View Form – Submitted by Lodge’s when seeking “per capita” financial assistance for a distressed Brother from the Benevolent Fund.

Forms 182.2 – 182.3 | Nomination for Masonic Medal of Merit

View Form 182.2, View Form 182.3 – The Masonic Medal of Merit is restricted to a member who has not served as Master of a Lodge. Fill out nomination form 182.2 and nominators comment form 182.3.

Retention of Lodge Files and Records

View Form – Guidelines for Lodges regarding retention of files and records