Member Update

The Palm Beach County PBA takes great pride in staying in touch with our members. The information above is going to be used to update our member database. We assure you that your information will not be sold to a 3rd party, and it will only be used in an effort to keep our members up-to-date about important information.

    First Name (required)

    Last Name (required)

    DOB (required)

    Your Email (required) *PLEASE NOTE - PERSONAL EMAIL ONLY - We do not communicate through departmental emails.

    Last 4 of Social Security # (required)

    Agency (required)

    Agency ID(required)

    Rank (required)

    If Retired, please provide date of retirement:

    Cell Phone (required)

    Street Address (required)

    City (required)

    State (required)

    Zip (required)