Joining the Fairfax Coalition of Police is in investment in your family, your career, and you!

Be sure to fill out both forms.  One is the enrollment form that will be sent to payroll.  The other form is the Life Insurance beneficiary form that we keep on file. You can email the forms to [email protected], or any Board Member! For further questions or assistance you can also call 703-209-8101. You are covered the minute your forms are in our hands, so don’t wait!

Membership Forms

Membership Enrollment Form

Life Insurance Enrollment and Beneficiary Change Form