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Health and Welfare Fund Patrolmen Benevolent Association of the City of New York 125 Broad Street 11th Floor, New York, NY 10004 2123497560 www.nycpba.org Dependent Enrollment Form Active Members
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How to fill out enrollment - patrolmens benevolent
How to fill out enrollment - patrolmens benevolent:
01
Obtain the enrollment form from the Patrolmens Benevolent Association website or office.
02
Fill out your personal information, including your full name, address, phone number, and email.
03
Provide your date of birth, social security number, and any other required identification details.
04
Specify your current employment status, job title, and the police department you are associated with.
05
Indicate your desired coverage level and any additional benefits you would like to enroll in.
06
Sign and date the form, ensuring that all information provided is accurate and complete.
07
Submit the filled-out enrollment form through the designated channels, such as mailing it to the given address or submitting it online through the PBA website.
Who needs enrollment - patrolmens benevolent:
01
Law enforcement officers: Patrolmens Benevolent Association membership is typically available to active or retired law enforcement officers.
02
Police department employees: This enrollment is often open to other personnel working within police departments, such as civilian staff or administrative employees who are eligible for PBA membership.
03
Immediate family members: In some cases, immediate family members of law enforcement officers or PBA members may also be eligible for enrollment in the Patrolmens Benevolent Association.
Note: Eligibility requirements may vary depending on the specific Patrolmens Benevolent Association and their rules and regulations.
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What is enrollment - patrolmens benevolent?
Enrollment - patrolmens benevolent is a registration process for members of the police department to join the benevolent association.
Who is required to file enrollment - patrolmens benevolent?
All active members of the police department are required to file enrollment with the patrolmens benevolent association.
How to fill out enrollment - patrolmens benevolent?
To fill out enrollment - patrolmens benevolent, members need to provide personal information, contact details, and sign the membership agreement.
What is the purpose of enrollment - patrolmens benevolent?
The purpose of enrollment - patrolmens benevolent is to officially join the benevolent association and access benefits and support services.
What information must be reported on enrollment - patrolmens benevolent?
Information such as name, badge number, rank, department, and contact information must be reported on enrollment - patrolmens benevolent.
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