Idaho State Police Assocation About Us

Quick Links :

New Member Registration:

New member registration is limited to current and retired Idaho State Police Employees. If you are interested in contributing to the ISPA but are not an employee, please visit our Online Store or Donations Page

If you are a current or retired Idaho State Police Employee and are interested in joining the Idaho State Police Association, please fill in the form below. Click the submit button at the bottom of the form to submit your application for approval.

Personal Information

Current Status :

Name:
Region:
Title:
Date of Hire:
Division:
Work Address:
Work Phone:
Home Address:
Home Phone:
E-mail Address:
Birthdate:
Social Security:	(last four digits)
Marital Status:
Spouse Information
Name of Spouse:
Spouse Birthdate:
Dependant Information
Ages	Names






I wish to join the ISPA. I understand my dues assesment will be $16.00 per pay period per month and forwarded by the Idaho State Controller's Office to the ISPA.
I wish legal defense insurance as provided by P.L.E.A. I understand and agree that $5.50 per pay period per month will be deducted by the Idaho State Controller's Office and forwarded to the ISPA. (You must be a member of the ISPA to be eligible for this benefit.)

Name:
Month & Year ISPA Membership Started:
Date Retired:
Region retired from:
Division retired from:
Home Address:
Home Phone:
E-mail Address:
Birthdate:
Marital Status:
Spouse Information
Name of Spouse:
Spouse Birthdate:
I wish to join the ISPA. I am a retired Idaho State Police Employee who was a member of the association when I retired. I understand my dues will be $60.00 a year, due October 1st of each year. I want to remain a Retired ISPA member.

Signature:

Type your name in the box above to signify your digital signature and acceptance of the above terms

Date:

07/31/2010

Please Add 2 + 6:

(should type 8)