FOP44 APPLICATION

NAME:

First NameLast Name

DATE OF BIRTH:

For Insurance Purposes

RANK:

COII, SGT, LT, CAPT, RETIRED...

MAILING ADDRESS:

Street Address

Street Address Line 2

City

Postal / Zip Code

CELL PHONE:

Format: (000) 000-0000.

GENDER:

NON-WORK EMAIL:

example@example.com

WORK COMPLEX:

PRISON LOCATION (LEWIS, PHOENIX..)

UNIT:

UNIT YOU WORK AT

DATE OF HIRE:

Date

EIN:

EMPLOYEE IDENTIFICATOIN NUMBER

TAKE A PHOTO OF YOUR DEPARTMENT ID...

...OR UPLOAD DEPARTMENT ID FROM PHONE PHOTOS OR COMPUTER

FOR FASTER PROCESSING OF YOUR APPLICATION, PLEASE TAKE A PHOTO OF YOUR DEPARTMENT ID, RETIRED ID, OR ARIZONA DRIVER'S LICENSE ABOVE, OR UPLOAD IT FROM YOUR PHONE/COMPUTER HERE

ARE YOU CURRENTLY UNDER INVESTIGATION?

WHAT TYPE OF INVESTIGATION IS IT?

DID YOU ALREADY RECEIVE AN (AI) 601 FORM?

UPLOAD (AI) 601 COMPLAINT

This is an application for the Fraternal Order of Police, Lodge 44 Membership. Fraternal Order of Police, Lodge 44 Dues are $34 per month which includes our legal plan. In signing this application you also attest to the following: I hereby apply for membership in the Fraternal Order of Police/Arizona Labor Council, Inc. (FOP/ALC). I authorize the FOP/ALC to act as my official representative in job related matters concerning my wages, hours, and conditions of employment in order to promote and protect my economic welfare. Further, I do solemnly and sincerely promise and swear, that I will, to the best of my ability, comply with all the laws and rules of this Order; that I will recognize the authority of my legal elected officers and obey all orders therefrom not in conflict with my religious or political views, or my rights as an American citizen; that I will not cheat, wrong, or defraud this Order, or any member thereof, or permit the same to be done if in my power to prevent it; that I will, at all times, aid and assist a worthy Brother or Sister in sickness and distress, so far as it lies in my power to do so; that I will not divulge any of the secrets of this Order to anyone not entitled to receive them. To all of which I most solemnly and sincerely promise and swear. Should I violate this, my solemn oath of obligation, I hereby consent to be expelled from the Order. This application for FOP membership will not become effective until approved by the FOP Lodge 44 Membership.

SIGNATURE:

DATE:

Today's Date

DO YOU NEED TO DROP OTHER UNIONS?

Membership Option

Active Employee Monthly Membership Fee

Includes Legal Protection for active employees.

$34.00 for each month

Retired Monthly Membership Fee

Does not include Legal Protection.

$14.00 for each month

FRATERNAL ORDER OF POLICE

Active Membership Application

Membership Option