Assembly Forms

Both online and print forms are listed below in order of due date. For help, please view our Help Section.

To access these forms, you need Adobe Acrobat Reader (version 7.0 or higher). This is a free download.

Tips when using online forms:

  • Please print out a copy of the form before submission.
  • To email a copy to yourself, include your email address at the bottom of the form.

Due Date
Form Name
Form #
Online Print
1/15 Keep Christ in Christmas Poster Contest Participation Form 5023 Keep Christ in Christmas Poster Contest Participation Form
 - Print Version
1/31 Annual Survey of Fraternal Activity
* Fillable forms are only in the online version
1728C Annual Survey of Fraternal Activity - Online Version  Annual Survey of Fraternal Activity - Print Version
6/30 RSVP and Plaque Application 2863A RSVP and Plaque Application - Print Version
6/30 Civic Award Application 2321 Civic Award Application - Online Version  Civic Award Application - Print Version
6/30 To Be a Patriot Award Entry Form TBP-1 To Be a Patriot Award Entry Form - Print Version
7/1 Report of Officers Chosen for the Term 186 Report of Officers Chosen for the Term - Online Version  Report of Officers Chosen for the Term - Print Version
8/1 Annual Assembly Audit Report 1315 Annual Assembly Audit Report - Print Version
11/1 Keep Christ in Christmas Poster Contest Kit Order Form CPC-Kit Keep Christ in Christmas Poster Contest Kit Order Form
 - Print Version
As needed Fourth Degree Exemplification Report 1291 Fourth Degree Exemplification Report - Print Version
As needed Columbian Squires Inquiry Kit Order Form 457-X Columbian Squires Inquiry Kit Order Form - Online Version  Columbian Squires Inquiry Kit Order Form - Print Version
As needed Youth Leader 4348 Youth Leader - Print Version
As needed Survey of Fraternal Activity Individual Member Worksheet 1728A Survey of Fraternal Activity Individual Member Worksheet - Print Version

Every assembly is responsible for making the report and sending them to the appropriate province/district officials if necessary. In every instance, copies of each report form should be kept for the assembly files.

Any questions concerning the online report forms site or the forms themselves should be directed to: Supreme Council Department of Fraternal Services, 1 Columbus Plaza, New Haven, CT 06510-3326 or (203) 752-4270.