Forms

Membership Forms:

Click here for the Membership Application Form. Use this form if you are applying to become a member via ACH or Payroll.

Click here for the Member Information Update Form. Use this form if you are a current member and need to inform us of changes in your contact or beneficiary information.

Click here for the ACH Update Form (ACH debit form). Use this form if you are an existing member and informing us of a change with your personal bank account.

All forms may be submitted via e-mail to severin@tblofmi.com

Or fax them to: (517) 540 - 6573

or mailed to:
Thin Blue Line of Michigan
P.O. Box 415
Howell, MI 48844

 

Application for Benefits Forms:

Click here for the Application for Benefits form.

Click here for the Authorization form.

Both forms are required for consideration.

Applications may be submitted via e-mail to scott@tblofmi.com

Or fax them to: (517) 540 - 6573

or mailed to:
Thin Blue Line of Michigan
P.O. Box 415
Howell, MI 48844