NCHIA Membership Application

NCHIA Membership Application
Customer Details:
Title/Name*

TitleFirst and Last Name
Agency*
Agency Supervisor*
Agency Supervisor Phone Number*
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail
example@example.com
Choose one of the following requests:
Active Membership (Yes/No)*
Sworn Law Enforcement Officer with the powers of arrest involved in investigation of death cases. Medical Examiner of NC, Employees of O.C.M.E., District Attorney Investigators assigned to death cases. Non-Sworn employees of N.C.D.O.J., Crime Scene Investigators employed by Local, State or Federal Agencies. Former Sworn LEO's but with qualifications suitable by the Board.
Privileged Membership (Yes/No)*
Duly elected District Attorneys of NC, U S Attorneys or Assistant U S Attorneys, Police Attorneys employed by a Law Enforcement Agency. Civilians not employed by LEA's that are Professors of an accredited College or University that contribute to the prosecution of Homicides and Civilian Interns of a LEA that contribute to Homicides and have passed a full background Investigation and are recommended by their Agency.

My Products

NCHIA Annual Membership Fee

This fee to be a member of the NCHIA. This membership fee only covers the calendar year in which the applicant paid.

$20.00 Quantity

Total

$0.00

Choose one of the following requests: