Use our new online membership form to start your CFPBA enrollment right away. If you are an existing member, you may use this form to update your information or dues-payment election. You will be able to fill out the form and send it to us--- all online, without printing!
Click here to get Abobe Reader X. Be sure you have the latest Adobe Reader. You need the lastest version to use our online form, which will submit your membership form electronically. If you have an older version, you'll be able to open the form, but you may promoted to email us the form instead of submitting it directly.
Beneficiaries. The membership form includes a segment for designating your insurance benefict benficiaries. These fields must be completed. If you don't wish to designate beneficiaries, type "n/a." If you have already designated beneficiaries and don't wish to change them, type "n/a." Remember, if you don't designate beneficiaries, your benefits will be paid to your estate.
Coastal Florida Police Benevolent Assocation Membership Forms
Click to complete the form for Police Benevolent Association memberships only. (If you are a CFPEA member, please select CFPEA forms on the menu on the left.)