Support the BLUE AND GREY CAMPAIGN
- Blue and Grey Fundraising Campaign Letter and Donation Form – Print and present to an individual or business who would like to support our annual charitable events.
MEMBERSHIP FORMS
- Membership Application – See membership rules on our Membership Page
- Beneficiary Form – Submit this with new membership
- Dues Deduction Application – Dues are paid directly from your NYS pension check monthly. Also attached instructions on determining your “R” retirement number needed to complete the form.
- Commemorative Brick Form – Available to any area Police, Peace Officer, or civilian employee of a law enforcement agency. Commemorate your years of service with a lasting brick in our Memorial Garden.
OTHER FORMS
- Federal Healthcare Dedcuction for First Responders (FAQs)
- HR-218 Waiver – RPD Only (revised Sept. 2023)
- 2025 Fraternal Order of Police Member Application – Police Retirees in good standing may apply an FOP membership *Note – The insurance coverage form is NOT provided by ARPALER, it is done online only with link below.
- Fraternal Order of Police Concealed Carry Insurance – Police Retirees in good standing must first become an FOP member to qualify for the offered Concealed Carry Insurance. You may apply for the insurance while being processed to become an FOP member. Contact the FOP Lodge #103 in Clarence NY for details at (716) 361-1667 or Wnabphil78@msn.com.
- NYS Last Will and Testament Template
- NYS Living Will
- NYS Health Care Proxy
- Florida Medical Power of Attorney
- NYS Power of Attorney
- Florida Financial Power of Attorney
Association of Rochester Police and Area Law Enforcement Retirees, Inc. 