info@lawenforcementfund.com 4094 Majestic Lane, #378 Fairfax, VA 22033

Forms

Open season for enrollment will be once annually during October.

You may only apply during the following times:
-Within 30 days of hire or appointment
-Within 30 days of swearing in (sworn employees only)
-During open season (October 1-31)


SOME AGENCIES REQUIRE A DEDUCTION CARD- If your agency is listed below, please complete an application AND a deduction card. Click on the form you wish to use then fill it out online.   

Application


Information Change Form


All Agency CHANGE FORM
This one form will handle all your changes regardless of your agency or department.