IMPORTANT: Make sure that all requested information is legible and accurate. All names should be as they appear on the ID cards. Use a new application for any changes. Unless otherwise stated above, a COLOR COPY of your law enforcement photo ID card, centered on a separate piece of paper, is required for our records. Membership renewal application and payment MUST be returned before October 16, 2017. Renewal not returned before the due date will result in the suspension of your membership whic.

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How to fill out the NY Active Membership Application - Suffolk County Lodge 124 online

Filling out the NY Active Membership Application is a crucial step for individuals seeking to become a member or renew their membership with Suffolk County Lodge 124. This guide will walk you through each section of the application, ensuring that you provide accurate and complete information.

Follow the steps to accurately complete the application.

  1. Click ‘Get Form’ button to obtain the application and display it in your document editor.
  2. Indicate whether you are a new member or renewing your membership by checking the appropriate box at the top of the form.
  3. Provide your full name in the designated space, ensuring that it matches the identification you will submit.
  4. Enter your date of birth in the specified format to verify your identity.
  5. Fill in your current address, including any apartment number if applicable, to ensure correct correspondence.
  6. List your phone number and email address so that the lodge can reach you regarding your membership.
  7. Complete the beneficiary information by providing the full name and relationship to you, as well as their address and phone number.
  8. Confirm your status as a full-time law enforcement officer by marking the statement provided and ensuring you meet the eligibility criteria.
  9. Specify your department or agency, your command or unit, and your rank or title to provide context to your application.
  10. Indicate whether you are currently active or retired in your position.
  11. Sign and date the application to validate your submission before mailing it.
  12. Make sure to include a color copy of your law enforcement photo ID card centered on a separate piece of paper, as required.
  13. Prepare your $50 payment, ensuring it is either a check or money order made payable to NYS FOP Suffolk County Lodge 124.
  14. Mail the completed application along with the required documents, and keep a copy for your records.

Complete your application online today to secure your membership with Suffolk County Lodge 124.

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