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Fraternal Order of Police
Fraternal Order of Police
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LEGAL DEFENSE
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HOME
LEGAL DEFENSE
WHY JOIN?
NEWS
ABOUT
STORE
SPONSORS
CONTACT
SIGN IN
MAKE PAYMENT
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Online Legal Defense Application Form
NEVADA STATE LODGE FRATERNAL ORDER OF POLICE
FOP LEGAL DEFENSE PLAN APPLICATION
(Previous editions of this form are obsolete)
The Nevada State Lodge is the local group plan coordinator for the Legal Defense Plan for members of the Fraternal Order of Police in the State of Nevada. All members of the Order in Nevada will be covered under the “Group Plan”.
The current rate under the Group Plan that includes off duty coverage is $324.00 for calendar year.
Membership is effective from 1 January through 31 December of each year.Pro-rated membership is also available throughout the year. Membership in the Plan is extended only to active duty law enforcement officers in good standing with the Fraternal Order of Police.
Your Legal Defense Plan coverage will begin the day after the Hylant Group receives your application and payment. Please DO NOT send cash.
Legal Defense renewal invoices will be sent out in October/November of each year to allow ample renewal time. To avoid confusion, those submitting both an FOP membership application
AND
an application for the Legal Defense Plan, are asked to please submit
TWO
separate checks with their applications, one for the lodge dues and one for the legal plan.
Complete the online application and hit Submit button to send it electronically and it will take you to Pay Pal to make the payment. For mail in option with check payment, please use PDF version download below
Check One:
New Admission
Legal Plan Annual Renewal with Off Duty Coverage
Name
Address
City
State
Zip
Telephone
*LAST FOUR of your Social Security No.
*
*EMPLOYER
*
*Local Lodge Name and #
*
Member ID #
Legal Plan Agreement
By enrolling in the Legal Defense Plan, I agree to maintain a current membership in the Fraternal
Order of Police. I understand if I fail to do so, my admission in the Legal Defense Plan will be
terminated upon expiration of my membership in the Fraternal Order of Police.
Signature
Date
MM slash DD slash YYYY
Legal Defense Application PDF – Download
***For option to email and scan, download the application, fill it out, and then scan and email it to Gilbert Cortinas at treas.nv.lodge@gmail.com (snail mail can take up to 10 days).
***For further Information call: 702-379-7425.
Email
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