Resource & Partnerships

​If you're a new member or a member who has not yet received a membership card and membership number, please complete the form below.

Select Division	Select Division State Trial Court IBPO IBCO Federal IAEP NAGE EMS Other Please select a division.
Former First Name	Enter former name.
Former Last Name	Enter former last name.
Local #
Former Address	Enter former address.
Former City	Enter former City.
Former State	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select former State.
Former Zip	Use a US 5-Digit format.Enter US 5 digit Zip.
Work Email	Invalid email
Home Email	Invalid email format.
New First Name	Enter new First Name.
New Last Name	Enter new Last Name.
New Address	A value is required.
New City	Enter new City.
New State	Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select new State.
New Zip	Enter a US 5-Digit format.Enter a US-5 digit Zip.
Submit a copy to your employer's payroll department
Employer's Email	Invalid email format.
Enter CAPTCHA Code You can always refresh by hitting the refresh icon