Retired Police Association
of the State of New York, Inc.

Edward F. Curran, NCPD, President

1 Old Country Road-Suite265, Carle Place, NY 11514-1884
Phone (516) 294-4488  FAX (516) 294-5129
e-mail: RPASNY@aol.com   website: 
http://retiredpoliceassociationstateofnewyork.com

 

 

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MEMBERSHIP APPLICATION

If you are a retired police officer from New York State and would like to join the RPA, you can download an application by going to this link and printing out the application. Fill out all the information on the application (3 pages) sign it in the three places noted and send the complete application with your check payable to the RPA for $35.00 to the RPA address on the application.  Please make sure to include your Retirement Pension number and System on the application.  There is a death benefit for members joining within one (1) year of retirement of $300.  For those joining the Association more than one (1) year after retirement, the death benefit is as follows:

For a member who has been a Member in Good Standing

         At least one (1) year but not more than two (2) years.....................$100.00

         At least two (2) years but not more than three (3) years.................$150.00

         At least three (3) years but not more than five (5) years..................$300.00

If you are eligible to join and would like to download an application, you can download the forms that are needed right here.  In order to open this file, you must have Adobe Acrobat Reader installed on your computer.  If you do not have it, you can download it "free of charge" directly from on the internet by clicking on the logo.  Please download the following files, print them out, complete the information requested and return them with your check for $35.00 payable to the RPA.

Click here to download the RPA application