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Member Family Resource Form
Using the form(s) below, please fill out the information below so we can assist you.
Please Note: Our Office Hours are Mon-Fri 9:00 AM to 5:00 PM ET
For decades, the PBA has supported its members. Our members risk everything on the job. The Member Family Resource is here to ensure the families they leave at home have the support they deserve.
  • PROVIDING FAMILIES with resources for dealing with the difficulties of having a loved one in law enforcement.
  • IN-PERSON VISITS with families of injured and fallen officers.
  • SUPPORTING THE CLAIMS PROCESS for the accidental death and dismemberment policy that the PBA offers its members.
Are you a SSPBA Member?
Thank you for your interest in the Member Family Resource. Please fill out your information below and select what you are interesed in. Once submited, someone will reach out to you.
1.
How are you related to our member?
Select your relationship:
2.
I would be interested in receiving information about the following: (Please check all questions you have)
3.
Contact Information
For more information about SSPBA, please visit: www.SSPBA.org
For information on the Police Benevolent Foundation, please visit: www.PBFI.org
Nichole Rose | Member Family Resource Coordinator | nrose@sspba.org