Departure Gift Application Form

IMPORTANCE NOTICES:

1) CMPA Departure gifts are free only to CMPA members who are in the process of departing the C.A.F., or whose release is has occurred within 90 days, after that period, CMPA Departure Gifts may be purchased from the MP Kit Shop at Shadow Box.

2) Military Police Badges are available for only up to 5 years from release or transfer out of the MP Occupation, they are then routinely destroyed. CMPA Members in that situation may choose either a MP Badge with either "VETERAN" or "RETIRED" in place of their original badge.

3) Engraving is based on the information provided on this form. Any spelling mistakes or errors on the form will result in errors on the engraving. The costs for any re-engravings needed as a result of such errors must be paid for in advance.

Full Formal Name for engraving, include any post-nominals "CD, MMM etc.") *

Rank First Name Middle Initial(s) Last Name Post Nominals

Service Number *

Date you became a MP *

Month Day Year

Date retired or released as a MP *

Month Day Year

CMPA Membership Number *

(If you don't have one yet, contact CMPAMEMBERSHIP@GMAIL.COM)

MP Badge Number

(Last Issued Badge Number)

Last Unit and Base

Are your MP Credentials Suspended or Revoked? *

I was never issued a MP Badge My credentials were revoked My credentials were (or are currently) suspended at time of release My credentials are not suspended

I want my engraving in *

English French

It's been more then 5 years since I turned in my MP Badge

No It's been 5 or more years since I've turned in my badge so I'll take a Veteran MP Badge It's been 5 or more years since I've turned in my badge so I'll take a Retired MP Badge Other (Explain in Comments Section)

To receive any CMPA departure gift, containing an MP badge, a member must satisfy all of the following criteria:

a. Must have been issued MP credentials during their career;

b. Must have been honourably released from the CAF;

c. Must be an ordinary member of the CMPA in good standing (N.B. For more information about CMPA membership see By-Law 1 – Membership); and

d. At the time of release/retiring, the member’s credentials must not be suspended or in the process of being suspended. If suspended, the matter shall be referred to the suspension authority by the member’s chain of command for permission to release the badge to the CMPA.

Ordinary members of the CMPA who are members of the Reserve Force but who were not issued MP credentials during their military career will be provided with an appropriate departure gift on release or retirement. The design and selection of the Reserve departure gift will be at the discretion of the CMPA Executive Committee but will be comparable in value, and suitably reflect the member’s contribution and service provided, to the one described above.

Associate members of the CMPA, who are civilian employees of the Canadian Public Service, may be provided with an appropriate departure gift on retirement from the public service or upon leaving the CMPA. The design and selection of the Associate member departure gift will be at the discretion of the CMPA Executive Committee, which will take into account the length of time the Associate was a member of the CMPA and the contributions they made throughout their membership.

Honorary members of the CMPA may be provided with an appropriate memento upon leaving the CF MP Group. The determination as to whether or not an Honorary Member will be presented with a departure gift will be at the discretion of the CMPA Executive Committee. The design and selection of the Honorary Member departure gift will be at the discretion of the CMPA Executive Committee.

For the complete bylaw please visit CMPA Bylaw 5

I have read the above and certify that: *

I was NOT released from the CF “Dishonorably”; I was NOT released from the CF prior to the resolution of an ongoing MP Professional Standards investigation or Conduct complaint; and my credentials were not revoked or suspended prior to my release; and My CMPA dues are in good standing with the CMPA.

Address to send the Departure Gift (MUST be a Canada Post Mailing Address) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Please enter a valid phone number.

Email *

example@example.com

Special Instruction / Comments and DWD Coordinator contact information

Please verify that you are human *

Departure Gift Application Form

Certification