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.)