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Office of the New York State ComptrollerPolice and Fire Membership Application PF 5022New York State and Local Retirement System 110 State Street, Albany, New York 122440001(Rev. 6/16)Receipt StampInstructions:
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To fill out police and fire membership, follow these steps:
02
Obtain the necessary forms from the police or fire department.
03
Fill in your personal information such as name, address, and contact details.
04
Provide any required identification documents.
05
Answer all the questions honestly and accurately.
06
Review the completed form for any mistakes or missing information.
07
Submit the filled-out form to the police or fire department either in person or by mail.
08
Pay any applicable membership fees, if required.
09
Wait for confirmation or approval of your membership application.

Who needs police and fire membership?

01
Police and fire membership is typically needed by:
02
- Individuals who wish to join the police or fire department as a sworn officer or firefighter.
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- Existing members of the police or fire department who need to renew their membership.
04
- Community volunteers who want to be part of police or fire auxiliary units.
05
- Residents or businesses that want to support and contribute to the local police or fire department through membership programs.
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Police and fire membership is a program that provides benefits for eligible police officers and firefighters.
Police officers and firefighters are required to file for police and fire membership.
Police and fire membership forms can be filled out online or submitted in person at the designated office.
The purpose of police and fire membership is to provide benefits and support to police officers and firefighters during their service and retirement.
Information such as personal details, employment history, and beneficiary information must be reported on police and fire membership forms.
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