Lifetime Membership Application

This application is for Lifetime Membership Designation with the Progressive Firefighters Association of Washington, D.C. To be eligible, applicants must have maintained membership with the International Association of Black Professional Fire Fighters, Inc. (IABPFF) for at least 51% of their career. Application Process (Two Parts): 1. Complete the form fields below for the local chapter. 2. Download and complete the IABPFF, Inc. PDF application below.

Name *

First

Middle

Last

Please provide your Rank at Retirement. *

Sex *

Female
Male
Prefer not to answer
Other

Date of Birth *

Date of your Appointment *

Address provide Date

Date of your Retirement *

Chapter Name *

Region *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

PDF of IABPFF, Inc. Lifetime Membership Application