Register - Port Authority Police Benevolent Association Inc.

Complete the form below to start the process of verification to receive your new, secure credentials. You must be an active Port Authority PBA Member in order to complete this sign-up form.

"*" indicates required fields

Name*

First Middle Last

Suffix

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone*

Date of Birth*

Gender*

Male

Female

Email*

Please use your personal email only. No department emails will be accepted.

Enter Email Confirm Email

Password*

The password must be at least ten characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ). Strength indicator MUST be Strong in order to proceed.

Enter Password Confirm Password

Strength indicator

PA Employee Number*

PA Shield Number*

Command currently assigned*

Confirmation*

I confirm that I am a member of the Port Authority Police Benevolent Association and the information I have provided above is correct. By checking this box I also give the PAPBA permission to send occasional email and text message updates.

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.