Retirement Credentials Application - Formulaire de demande d’attestation de retraite

Retirement Credentials Request Form

Canadian Military Police Association
Important Notice
Retirement Credentials start at a cost of $75 and up depending upon your choice, if any, of badge wallet. Don't forget to apply your CMPA Membership Discount Code found on the back of your CMPA Membership Card for a 15% discount. Your request will not be processed until your payment has been made (we are automatically informed of all payments) Retirement Credentials are only available to members in good standing of the CMPA. Please refer to CMPA By-Law 6 for more information. CMPA Constitution and By-laws

MP Kit Shop
Identification

WARNING: Please be very careful when filling out this form, YOUR ID CARD WILL BE PRINTED USING THE SPELLING YOU PROVIDE BELOW and you will be responsible for any replacement costs if a replacement ID Card is required due to a spelling error on the form.
Name *

First Name Middle Name Last Name
Service Number *
If you do not have a SN enter XXX, DO NOT enter your SIN
MP Badge Number *
(Last Issued Badge Number)
Date became a MP *

Month Day Year
Date retired or released as a MP *

Month Day Year
Email *
example@example.com
Upload a head and shoulder's photograph. For best results take against a plain light coloured background. Acceptable types are TIFF, PNG, BMP,JPG, JPEG or GIF image. NOT PDF. *

ID Card Photo
Cancel of
What is your CMPA Membership Number? *
Certification

By clicking yes, you are certifying that the following statements are true.
CMPA Retirement Credentials are only available to members in good standing of the CMPA. *

Yes, I am a fully paid up CMPA member. No, I am not a CMPA Member.
To receive Retirement Credentials, you must have held an appointment as a “Specially Appointed Person” in accordance with s.156 of the National Defence Act (NDA) at the time of your retirement or leaving. (N.B. If the member’s ability to hold an appointment as a Specially Appointed Person was in doubt/question at the time of their leaving active service, this must be resolved before being authorised to obtain retirement credentials.)
At the time of my retiring or leaving I held an appointment as a "Specially Appointed Person" in accordance with s.156 of the NDA. *

Yes, I was a Specially Appointed Person No. I was never a Specially Appointed Person I had credentials, but at the time of my leaving, I was either suspended pending MPCRB action or my credentials were revoked. (you will be contacted)
Mailing Address
I want my Retirement Credentials sent to *
Please select
DWD Coordinator Mailing Address
Rank, Name

Rank First Name Last Name
Address (Must be a Canada Post Mailing Address)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Comments
Please verify that you are human *
Should be Empty:

Retirement Credentials Request Form

Important Notice

Identification

Certification

Mailing Address

DWD Coordinator Mailing Address