Forms

The forms below represent any documents that might be needed that require input by a lodge. If you’re looking for a document that doesn’t require input, you’ll find those on the Resources page.

Alphabetical links to all of the forms on this website are below.

• Application for Dispensation (PDF) MS Word (Revised May 2016)
• Application for Relief (PDF)
• Application for Matching Grant (PDF) MS WordMatching Grand Guidelines
• Application for Relief — Armed Forces Veteran (Secretary’s Certificate) (PDF)
• Application for Relief — Armed Forces Active Military (Secretary’s Certificate) (PDF)
• Application for Relief — 50 Year Member (Secretary’s Certificate) (PDF)
• Candidate Progress Report (from the DER Manual)
• Dispensation, Application for (PDF) MS Word (Revised March 2016)
• District Education Representative Annual Report MS WordPDF(Revised 2021)
  • D.E.R. Blue Lodge Degree Checklists
  • D.E.R. Lodge Education Assessment Form
  • D.E.R. Manual (Revised 2021)
  • Raymond Rideout Nomination Form
  • DDGM Lodge Evaluation Guide Form MS WordPDF Revised July 2022
  • DRI Evaluation Guide MS WordPDF Revised July 2022

  Quick Links

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  Contact Us

  Offices / Library & Museum:
  1007 Main Rd.
  Holden, ME 04429

  Mailing Address:
  P.O. Box 430
  Holden, ME 04429-0430

  (207) 843-1086
  Toll free: 1-855-843-1086
  Fax: (207) 843-1088

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