Progressive Fire Fighter’s Association’s Retired and Associate Member Application Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastToday's Date *Address *Address Line 1Address Line 2CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCell Phone Number *Home Phone NumberEmail *EmailConfirm EmailYour Retirement DateYour Date of Birth *Please indicate if you are a Retired DC Fire and EMS Department Employee or an Associate Member: *Associate Member ApplicationRetired Member ApplicationCaptcha *What is 7+4? PhoneSubmit