Form 15

This certifies that ______ [full name of the teaching elder] _______ has, until this date, been a teaching elder under the oversight of the _________ [name of the presbytery] ___________ of the Reformed Presbyterian Church of North America, and is hereby certified to the ____ [name of the presbytery] _____ at his own request. His credentials are in order and are attached to this certificate.

By order of the Presbytery this _______________ day of ________________ in the year _______________. ____________________________ ______________________________ Clerk of the Presbytery/ Moderator of the Presbytery/ Clerk of the Ad Interim Commission Moderator of the Ad Interim Commission