Join LTPOA

Membership Application

Use the below applications for either INDIVIDUAL or TEAM membership. You may also print out the form below if you prefer, fill it out, and return it to us with your dues.

If mailing, please send your application packet to:

Louisiana Tactical Police Officers’ Association
1104 Royce Dr.
Alexandria, 71303

Individual Application
Team Application

Individual Application

Name

First Last

Rank

Date of Birth

T-Shirt Size

Agency

Agency Phone

Agency Fax

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Primary Assignment (Patrol, Corrections, Narcotics, etc)

Collateral Assignment (SWAT, Crisis Negotiations, etc)

Does Your Agency have a Special Response Team?

Number of Team Members (if applicable)

File Upload - Completed application must be accompanied by a copy of the applicant’s commission card or departmental ID.(Required)

Max. file size: 128 MB.

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Name

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Team Membership Application

Agency Name

Agency Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Agency Phone

Agency Fax

Commanding Officer’s Name

First Last

Agency Head’s Name

First Last

Please Select One of the following:

Full Time Team

Part Time Team

Number on Team

File Upload - Completed application must be accompanied by a copy of the Commander’s commission card or departmental ID.

Max. file size: 128 MB.

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Comments

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Membership Application

Individual Application

Team Membership Application

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