Police Retirees of Ontario Inc. > Membership

Police Retirees of Ontario Inc - Involved Because We Care

Apply for Membership

This membership application/update form is strictly confidential. The information on this completed form will remain strictly confidential for the private, exclusive use of the Police Retirees of Ontario Inc.

For Police Retirees

I am completing this form to:

Apply for a Police Retirees of Ontario membership

Update my current information - Membership #

Preferred Title of Applicant: Mr. Mrs. Ms.
First Name:
Last Name:
Address:	Suite:
City:
Province:
Country:
Postal Code:
Phone:
Fax:
Email:
Police Service:
Enlistment Date:	MM/DD/YYYY Format
Retirement Date:	MM/DD/YYYY Format
Rank Achieved:
Birth Date:	MM/DD/YYYY Format

For Widows/Widowers

I am completing this form to:

Apply for a Police Retirees of Ontario Widow/Widowers membership

Update my current information - Widow/Widowers Membership #

Preferred Title of Applicant: Mr. Mrs. Ms.
First Name:
Last Name:
Address:	Suite:
City:
Province:
Country:
Postal Code:
Phone:
Fax:
Email:
Police Service:
Date of Death of the Retired or Active Police Personnel Person
	MM/DD/YYYY Format
Active Duty Death? No Yes

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Your support helps us to serve and protect the rights, interests and concerns of retired law enforcement personnel, their spouses, widows or widowers and to assist child oriented causes throughout Ontario and support the Law Enforcement Services.