Form 33

You, _____________________, having been _______________ (deposed or excommunicated) because of sinful conduct, and having now given very evident proofs of sincere repentance, the ______________ in the Name of the Lord Jesus Christ, as a Court constituted by His authority, hereby absolves you from the censure of _________________ given against you; and restores you to the membership of the Church, and to the fellowship of the Christian sacraments.

(Note—In the case of deposition, the statement as to restoration should fit the penalty imposed.)