RFPA Membership Application Please enable JavaScript in your browser to complete this form.Membership – Step 1 of 9Join the Retired & Former Police Association of NSW Inc. Thank you for your interest in joining the Retired & Former Police Association of NSW (RFPA). This online application should take approximately 5–10 minutes to complete. The current annual membership fee is $40, and financial members have access to a wide range of exclusive RFPA Member Benefits and Discounts across travel, motoring, health, optical and other products and services, including Hertz, Qatar Airways, Specsavers, mycar, Scenic, Viking and Wendy Wu Tours, with additional offers available from time to time. Please note that submitting this application does not immediately make you an RFPA member. All applications are subject to eligibility requirements and approval by the RFPA Committee of Management. Why do you want to join the RFPA? (Optional)Stay connected with former police colleaguesMeet and socialise with other retired and former policeReceive RFPA news and informationAccess RFPA member discounts and benefitsAttend RFPA branch activities and social eventsAccess welfare, support and assistanceMaintain a connection with the NSW policing communitySupport the work and objectives of the RFPAOtherPlease tell us all the reasons you have for joining the RFPAPlease select all that apply… Other reason/s for wanting to join the RFPA.NextWhat type of membership are you applying for? *Full Membership – Was a sworn member of the NSW Police Force with a Registered Number and left in good standing.Associate Membership – Spouse or Partner of a Full Member, Police Widow, Member of another Recognised Police Force, Unsworn Member of NSW Police Force or another Recognised Police Force, a person with verifiable links to policing or an RFPA MemberContinueNSW Police Service DetailsFormer NSW Police Registered Number *Your former Registered Number which may be checked for validity.Date of retirement, resignation or dischargeDD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Service DateI do not know the exact dateFull Membership Eligibility Declaration *I confirm that I left the NSW Police Force following honourable and ethical service and believe I am eligible for Full Membership under the RFPA Constitution.Associate MembershipChoices (Choose one) *Widow or widower of an RFPA Full MemberSpouse or partner of an RFPA Full MemberFormer officer of another recognised Police ForceSpouse or partner of a former officer of another recognised Police ForceFormer unsworn employee or volunteer of a recognised Police ForceSpouse or partner of a former unsworn employee or volunteerOther suitable person nominated by two RFPA Full Members Widow – Widower – Spouse – Partner of a Full RFPA Member Name of RFPA Full Member *Former NSW Police Registered Number, if knownFormer NSW Police Registered Number may be checked for validityRFPA Membership ID (if known)Relationship to RFPA Member *— Select Choice —WidowWidowerSpousePartnerOther Former officer of another Recognised Police Force Police Force or Organisation *Former Registered or Service NumberDate retired, resigned or dischargedDeclaration *I confirm that my service ended following honourable and ethical service. Spouse or partner of a former officer of another Recognised Police Force Former Officer full name *Police Force or Organisation *Period when served or when resigned If the former officer is a Member of the RFPA, their RFPA member ID Former Unsworn Employee of a Recognised Police Force (including NSW Police Force) Police Force or Organisation *Position or Role *Approximate Period of Service * Spouse or partner of a former unsworn employee or volunteer Former Unsworn employee Name *Police Force or Organisation *Approximate Period of Service *If the former employee is a Member of the RFPA, their RFPA member ID Other Suitable Person Your application must be nominated by two Full Members of the RFPA. Their status will be checked for approval.Please briefly explain your association with policing or the RFPA *Please provide any connection with the RFPA or with policing to support your application. You may nominate former Police persons, in addition to the two Nominators on this form, who can vouch for you in support of your application Nominator 1 — Full Name *Must be an RFPA Full MemberNominator 1 — Former Police Registered Number *Registered Number may be checked for validity.Nominator 1 — RFPA Member ID *Nominator 2 — Full Name *Must be an RFPA Full MemberNominator 2 — Former Police Registered Number *Registered Number may be checked for validity.Nominator 2 — RFPA Member ID * Name their to NextYour DetailsTitle *— Select Choice —MrMrsMsMissDrOtherFirst Names *Surname *Preferred NameThe name you prefer us to use in correspondence.Date of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Home Street Address *Home Suburb *Home State *— Select Choice —NSWACTVICQLDSAWATASNTOverseasHome Postcode *CountryContact DetailsYour personal contact details will be protected under the RFPA Privacy Conditions and will not be given without your consent.Mobile or Phone Number *Email address *EmailConfirm EmailA valid email address is required so we can keep you informed about important RFPA matters, including newsletters, member updates, benefits and discount offers. If you do not have your own email address, you may provide the email address of a trusted person who can receive RFPA information on your behalf and pass it on to you. Preferred Method of Contact *EmailPhoneEitherDO NOT CONTACT ME (I still want to receive the RFPA Gazette)If you do not want to be contacted for any reason, please select DO NOT CONTACT ME.Spouse or Partner Name (In case of emergency)Spouse or Partner Phone NumberEmergency Contact NameEmergency Contact Phone NumberIf Spouse or Partner or Emergency Contact is an RFPA Member, their RFPA Member NumberIf Spouse or Partner was an RFPA Member, their RFPA Member Number (if known)If your spouse or partner is deceased: what was their RFPA Member Number ContinueChoose Your RFPA Branch – You do not have to attend a branch but makes it easier to keep you informed. Which RFPA Branch would you like to join? *— Select Choice —Brisbane Northern SuburbsCentral CoastCentral TablelandsCoffs HarbourDubbo DistrictTweed/Gold CoastHornsby & DistrictHunterIllawarraKiamaMacarthurManning Great LakesMid North CoastMurray RiverNew EnglandNorthern BeachesNorthern RiversParramatta HillsPeelPenrith Blue MountainsRiverinaSouth CoastSouthern TablelandsSydneyWater PoliceWide BayNo preference — please allocate me to the most appropriate BranchYou do not need to attend Branch meetings to be a member of the RFPA. However, belonging to a Branch helps keep you informed about local RFPA news, activities, events and member benefits that may be of interest to you. ContinueRFPA Quarterly Gazette delivery preferenceThe RFPA Gazette is published Quarterly and as a member you are entitled to have it posted to your preferred address or, to save postage costs, you can choose to view the online edition on our website.How would you like to receive the RFPA Quarterly Gazette? *Posted copy — send to my home addressPosted copy — send to a different mailing addressOnline version only — do not post a printed copyThe RFPA Quarterly Gazette is also available to read online. Choosing the online-only option helps reduce printing and postage costs. Your Gazette will be posted to the residential address provided in this application. You will not receive a printed Gazette by post. You can read each edition of the RFPA Quarterly Gazette online through the RFPA website. Gazette Mailing Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code— Select country —AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryYour Gazette will be posted to the Mailing Address you have provided above. RFPA Newsletter choicePlease Subscribe me to the RFPA Newsletter which is sent to my email address so I can be informed of the latest RFPA events and Member DiscountsThe RFPA Newsletter is sent to members email address on an irregular basis and contains timely information about forthcoming RFPA events and details of Exclusive RFPA Member only discounts and offers. By ticking this box you agree that you will be added to the RFPA Newsletter mailing list. We will never share your details with third parties.ContinueMembership Fee and Payment The current RFPA membership fee is $40 per year from the date of joining. If you choose to make a single annual bank payment (Option 1) rather than an automatic periodic deduction, it is your responsibility to ensure your membership fee is paid when due to avoid your membership lapsing. Annual payment reminders will not be sent by email. If you are unsure of your payment status or renewal date, please contact your RFPA Branch Secretary. How would you like to pay your membership fee? *Option 1 – Preferred Method: Police Bank Periodic Deduction. Set up an automatic annual payment from your Police Bank account, either in person at Police Bank or through your online banking app. Police Bank Periodic Deduction forms are also available on the RFPA website under Member Hub. When setting up the payment, please use the following as the payment reference: First Name + Surname + RFPA Member ID. Your RFPA Member ID can be found on your membership card.Option 2 – Preferred Method: Recurring Bank Transfer. Set up an automatic annual payment from any bank or financial institution. You can arrange this in person with your bank or through your online banking app. When setting up the payment, please use the following as the payment reference: First Name + Surname + Phone Number.Option 3 – Police Superannuation deduction (State Super Deduction forms are available on the Website under Member Hub)Option 4 – Single Annual Bank Payment – Make a one-off payment of $40 now from your bank or financial institution, including Police Bank. If you choose this payment method, you will need to make a new payment each year (currently $40) on the anniversary of your RFPA joining date to keep your membership financial.Option 5 – If you do not use online or Internet banking, you can visit your local bank or financial institution and make a payment to the RFPA using the BSB and Account Number below. If you choose this payment method, you will need to make a new payment each year on the anniversary of your RFPA joining date to keep your membership financial.Please note that we are unable to accept cash, cheques, money orders or other manual forms of payment. Our preferred payment methods are Option 1 or 2 or 3. These convenient options help ensure your membership remains current, avoids the need to remember to make a payment each year, and assists the RFPA in keeping administration costs to a minimum.Download Authority to Deduct from you Police Bank Account here. Police Bank Authority to Deduct Periodic Payment Annually RFPA Police Bank Account Details Account Name : Retired & Former Police Association BSB : 815000 Account Number : 100067989 Please use your Surname and Firstname as reference Payment Status *I have already made the paymentI will make the payment after submitting this applicationName of your Bank or Financial InstitutionPlease tell us the name of your bank or financial institution through which you will be paying your feeBank or Financial Institution from which payment has been made to the RFPA Police Bank Account *— Select Choice —Police BankOther Bank or Financial InstitutionDate of Payment *Payment Amount Option *One Year = $40Two Years = $80Three Years = $120Four Years = $160Five Years = $200Six Years = $240Seven Years = $280Eight Years = $320Nine Years = $360Ten years Lifetime Membership = $400You can pay for a minimum of 1 year or choose to pay for any number of years. Lifetime RFPA Membership is available for 10 years or more @ $400.Upload Banking Receipt. Drag & Drop Files, Choose Files to Upload If you have paid your RFPA membership fee by bank transfer, you may upload a photo, screenshot or PDF of your payment receipt. (Only jpg, jpeg, png, pdf)When you have made your payment, please email the Secretary and advise: Your Full Name, Bank or Financial Institution, Date Paid, Amount Paid and any proof of payment e.g. photo or scan of deposit slip. Your application will be held until payment has been received. *protected email* ContinueYour personal information will be collected and managed in accordance with the RFPA Privacy Policy detailed on our website.. Privacy Policy Privacy Acknowledgement *I acknowledge that I have read and understand the RFPA Privacy Policy.RFPA Application Process Please read carefully so that you are aware of the process and the timeframe. 1. Your Membership Application will NOT be processed until we receive your payment. 2. Your Membership Status is Pending Member. You ARE NOT YET a Member of the Retired & Former Police Association of NSW Inc. 3. You will be contacted by email or phone by the Secretary to confirm that your Membership Application has been received and that your status is that of a Pending Member. 4. At the next available Committee of Management (CoM) meeting, usually held each month, your name will be submitted to the CoM for approval. 5. Please note that, depending upon when your application is received, it could take up to two months for you to be contacted with the result of the CoM decision. This is to ensure probity checks are completed. 6. If your application is approved, you will be contacted by the Secretary and the Secretary of the RFPA Branch you nominated on the Membership Application form. If you have not nominated an RFPA Branch, the Secretary will attach your membership to the closest branch to where you reside. You DO NOT have to attend branch meetings to remain a member of the RFPA. 7. Your RFPA Membership Card will either be sent to you, or you will be advised that it will be presented to you at the next branch meeting. 8. You will then be entitled to exercise all the benefits of RFPA Membership, including the exclusive Financial Member Discounts and Benefits. 9. If your Membership Application is declined by the Committee of Management, you will be advised of the decision and the reasons for it, and invited to submit your objection to the decision in writing to the Committee of Management. 10. Please make a note of your RFPA Member ID (e.g. 1234), which is printed on your Membership Card and on the address label of your RFPA Gazette above your name. Please use your RFPA Member ID in all correspondence with the RFPA. 11. If, after your RFPA Membership is approved, the Committee of Management becomes aware of any issues which contravene the RFPA standards of behaviour, the Committee of Management may determine your continued Membership under the provisions stated in the RFPA Constitution. Declaration *I have read and understand the application process and timeframes.Applicant Declaration I apply to become a member of the Retired & Former Police Association of NSW Inc. I declare that the information provided in this application is true and complete. I understand that my application is subject to eligibility under the RFPA Constitution and approval by the Committee of Management. I understand that the RFPA Secretary will contact me by email or phone within 7–14 days to confirm receipt of my application. My application will then be reviewed at the next available Committee of Management meeting, which may take up to two months. If my membership is approved, it will be dated from the day I made my payment. If accepted as a member, I agree to abide by the Constitution, rules and standards of the Association. Declaration *I agree to and understand the above declarationType your full name as your electronic signature *Please enter your full legal name to sign this applicationOnce this form has been submitted and your Membership Fees have been paid, your RFPA Membership Status will be PENDING MEMBER. Application Submission DateNextUpdating preview…Please check your application before submission. This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSUBMIT APPLICATION Share to your Facebook page Share on Facebook (Opens in new window) Facebook