Fillable Retired Scdps & Associate Spouse Membership Form printable pdf download

Retired Scdps & Associate Spouse Membership Form

Download a blank fillable Retired Scdps & Associate Spouse Membership Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Retired Scdps & Associate Spouse Membership Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

South Carolina

Troopers Association

Retired SCDPS

& Associate Spouse

Membership Form w/ P4

All fields are required. Those marked in ORANGE are conditional. Once completed, either 1) print

and mail this form to 4961 Broad River Rd, Columbia SC 29212 or 2) fax it to 803‐772‐1125. Because

this form contains your sensitive information and because your signature is needed, we strongly en‐

courage you to print and mail it via the US Postal Service instead of emailing it to us.

Once your Retired status has been verified, we will contact you at your preferred email address.

Please note: If you haven’t already done so,.

Your Retired SCDPS Membership will entitle you to a 20% discount on all purchases and you will be

given access to restricted items/resources. If you have already created an account, remember to let

us know what your username is in the appropriate area below.

‐‐ Dues are not tax deductible ‐‐

‐‐ Any ongoing investigations at the time of this application will not be covered by the Association’s legal defense fund ‐‐

1. SCDPS‐SPECIFIC INFORMATION

Rank at Retirement: ________________________ Date of Retirement: _______________________

SCDPS Division (HP, BPS, STP) & Troop/Region: ___________________________________________

2. MEMBER‐SPECIFIC INFORMATION

Last Name: _________________________ First Name: _________________________ MI: _______

Mr. or Ms./Mrs.: ________ Preferred Email Address: ______________________________________

Birthdate: __________________________ Social Security Number: __________________________

Street: ___________________________________________________________________________

City: ________________________ State: ____ Zip: ___________ Phone: ____________________

sctroopers.org Username: __________________________________

(Haven’t signed up yet? Type ‘NA‘)

Is this a: ____ New, ____ Renewal, or ____ Updated App

(Type ‘X’ beside which)

(continued on page 2)

Retired Scdps & Associate Spouse Membership Form

Related Articles

Related forms

Related Categories