Lake County Sheriff's
Fraternal Order of Police Lodge 66
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Menu
Home
Events
Calendar
End of Watch
Membership
Sponsorship
About Us
About Us and Board Members
History of the FOP
Contact Us
Members Login
Active & Retired Membership Application
By filling out this application you agree to all of FOP Lodge 66's By-laws
Full Name
E-Mail
Primary Phone Number
Birthdate
Address
City
State
Zip
Have you been a member of this lodge before?
Yes
No
If yes, then Membership Number
Are you a member of another FOP Lodge?
Yes
No
Retired?
Yes
No
If retired, what agency
Employer
Position
Beneficiary
Relationship
Member SSN# (Last 4)
Signature
Date
