Welcome! Members, please login to receive the full benefits of this site. Members will also have the benefit of having a certified VA Claims Attorney who will assist with filing a VA claim.  If you have not yet registered for a site account, you may do so here.

To become a LAFPVA member, please fill out this form.  Membership is $65.00 annually. 

Annual Dues *

Minimum Price: $65.00

Full Name *

Email *

Total

$0.00

Credit Card Info *

Card

Name on Card

Submit

Name *

First

Last

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Email *

Agency You Work For *— Select Choice —LAFDLAPDOther

Military Branch *

• Air Force
• Army
• Marine Corps
• Navy
• Coast Guard
• Space Force
• National Guard
• Air National Guard

Are you in a reserve unit that deploys? *

• Yes
• No

Employee ID Number Or Badge Number *

Are you receiving VA Disability Compensation?— Select Choice —YesNoI Don’t Know

$65.00 Annual DuesAutomatic

• I hereby authorize my credit card to be charged for $65.00 for the annual payment to LAFPVA for membership dues. Such sum may be properly specified in the By-Laws of the Association.

Signature *

Clear Signature

Date *

Submit