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SPOUSE & ORPHAN'S FUND
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MEMBERS OF OUR FUND MUST
BE MEMBERS OF A FIRE DEPARTMENT IN THE STATE OF
WASHINGTON.
Membership Application
Please Print Full Name, First Middle Last:
Birthday
Phone
Street Address
Street Address Line 2
City
Postal / Zip code
Country
Country
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Region/State/Province
Beneficiary (Limited to Spouse, Parents, Child, Estate, Washington State Registered Domestic Partner, or Living Trust) can not be a girlfriend or boyfriend. Name of Beneficiary Here:
Relashionship (see above)
Street Address
Street Address Line 2
City
Postal / Zip code
Country
Country
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Region/State/Province
Phone
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Change of Address
Member Number
Full Name
Your New Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
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Submit
Change of Beneficiary
Member's Full Name
ID #
Phone
Department
I am a member of the Spouse and Orphan’s Fund and want to make a change in my beneficiary. Beneficiaries are limited to SPOUSE, CHILD, PARENT, ESTATE, LIVING TRUST, AND REGISTERED WASHINGTON STATE DOMESTIC PARTNER. New Beneficiary Name Here:
Relationship (see above)
Address of New Beneficiary
Submit
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