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Suffolk County Police Benevolent Association Vision Care Service Record (This form to be maintained by the providers' office) SECTION I PROVIDER/PATIENT SECTIONMember Name:SECTION II COVERAGE SECTION___Member
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Suffolk County Police Benevolent Association is a union representing police officers in Suffolk County, New York.
Police officers who are members of the Suffolk County Police Benevolent Association are required to file.
The suffolk county police benevolent form can be filled out online or submitted in person with the required information.
The purpose of suffolk county police benevolent is to track union membership and dues payments for police officers.
The form must report the officer's personal information, employment history, union dues, and any other relevant information.
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