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The HR218 Application form is a crucial document for individuals looking to access specific legal protections under the Law Enforcement Officers Safety Act (LEOSA). Primarily, it serves to establish eligibility for retired law enforcement officers to carry concealed firearms across state lines. Prospective applicants must provide key personal information, including their name, address, and Social Security number, along with details of their employment status, whether active or retired. They should also disclose their annual fee, which is currently set at $50. Payment options include submitting a check or entering credit card information directly on the form. Another important aspect of the form is its requirement that applicants affirm their compliance with specific eligibility criteria outlined by LEOSA, such as having powers of arrest and being a member in good standing with the Fraternal Order of Police (FOP). Incomplete forms can lead to ineligibility, emphasizing the importance of accuracy throughout the application process. Coverage begins on the first of the month, provided all applications and payments are received beforehand. Understanding these details ensures that applicants are well-prepared to navigate the process effectively.

Hr218 Application Example

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HR-218 Application

Name: ___________________________________________

Address: __________________________________________

Phone Number: ____________________________________

__________________________________________

SSN (Last Four Digits): _____________________________

City: ______________________________________________

Date of Birth: ______________________________________

State: _____________________________________________

FOP ID Number: ___________________________________

Zip Code: __________________________________________

FOP Lodge Name: __________________________________ FOP Lodge Number: _________________________________

Employment Status:

_______ Active

_______ Retired

Annual Rate: $50.00

 

 

Payment Information

 

 

____________

I wish to pay by check

(If paying by check, make payable to: FOP Legal Plan, Inc. and submit

 

 

 

to the address listed at the bottom of this form)

____________

I wish to pay by credit card

(If paying by credit card, complete all information listed below.)

 

VISA _________________

Mastercard_________________

 

Card Holder Name ______________________________________________________________________

 

Card Number ____________________________________________ Exp. Date ____________________

 

_______

By checking this box we will automatically renew your policy and deduct payment from

 

 

your account, unless otherwise notified.

Note: Coverage effective dates are the first of every month. Completed applications and payment must be received by Hylant Group on or before the last business day of any month for coverage to start the 1st day of the following month. Applications not fully and accurately completed may result in ineligibility for, and non-payment of benefits.

You must be an FOP member in good standing to participate and be eligible for benefits. Any person who is subsequently determined not to be eligible to participate or to receive benefits as of the date a claim arises, will not receive payment of benefits.

By submitting this form you are certifying that you meet all of the requirements set forth in LEOSA. If you are currently employed as a law enforcement officer by a governmental agency, LEOSA requires, among other things, that you must have powers of arrest, be authorized by the agency to carry a firearm and have met all agency standards to qualify in the use of a firearm. If you are retired as a law enforcement officer from a public agency, LEOSA requires, among other things, that you must have had powers of arrest while employed, must have retired in good standing after a minimum of 15 years of service (or have a duty disability), and MUST HAVE BEEN ISSUED A CERTIFICATION BY YOUR STATE DURING THE MOST RECENT 12 MONTHS stating that you meet state standards applicable to active law enforcement officers for carrying firearms. Not fulfilling these requirements and others set forth by LEOSA will result in no coverage.

FOP Legal Defense Plan | c/o Hylant Group | P.O. Box 1687 | Toledo, OH 43603

Phone: 800-341-6038 | Fax: 419-255-7557 | Email: lynn.young@fop.net

Form Characteristics

Fact Name Description
Application Purpose The HR-218 Application is designed for members of the Fraternal Order of Police (FOP) to request benefits under the Law Enforcement Officers Safety Act (LEOSA).
Eligibility Requirement Applicants must be FOP members in good standing to qualify for benefits. Failure to meet this requirement may lead to ineligibility.
Application Deadline Completed applications and payments must be submitted before the last business day of the month to ensure coverage begins on the first day of the following month.
Payment Options Participants can choose to pay an annual rate of $50 via check or credit card. It is essential to follow the payment instructions provided.
Required Information Applicants must provide personal details, including name, address, phone number, and last four digits of their Social Security Number (SSN).
LEOSA Certification Submitting the form certifies compliance with LEOSA requirements; this includes having powers of arrest and meeting agency standards for carrying firearms.
State Certification Retired officers must have received state-issued certification within the last 12 months indicating they meet current standards for active officers to carry firearms.
Contact Information For any inquiries or submission of the form, applicants can contact the FOP Legal Defense Plan at the Toledo office via phone or email.

Guidelines on Utilizing Hr218 Application

Once you have gathered all necessary information, including personal details and payment methods, you can complete the HR-218 Application form. Follow these steps carefully to ensure a smooth submission process.

  1. Print or obtain the HR-218 Application form.
  2. Fill in your Name in the designated space.
  3. Provide your Address, including street name, city, state, and zip code.
  4. Enter your Phone Number.
  5. Fill in the last four digits of your SSN.
  6. Input your Date of Birth.
  7. Specify your Employment Status by marking either "Active" or "Retired."
  8. Include your FOP ID Number.
  9. Indicate your FOP Lodge Name and FOP Lodge Number.
  10. Enter your Annual Rate of $50.00.
  11. For Payment Information, choose to pay by check or credit card. If paying by check, note that it must be made out to FOP Legal Plan, Inc.
  12. If paying by credit card, fill in your Card Holder Name, Card Number, and Expiration Date.
  13. Optionally, check the box for automatic renewal.
  14. Review the form for completeness and accuracy. Ensure all required sections are filled.
  15. Submit the completed form along with your payment to the address provided at the bottom.

After completing these steps, monitor for confirmation of acceptance and benefits eligibility. Ensure that all information provided is accurate to avoid delays in processing.

What You Should Know About This Form

What is the HR-218 application form used for?

The HR-218 application form is used for individuals who want to apply for the FOP Legal Defense Plan. This plan is designed for law enforcement officers, both active and retired, to ensure they have legal support when needed. By completing this form, you can secure coverage and benefits under the plan.

Who is eligible to submit the HR-218 application?

Eligibility is limited to members of the Fraternal Order of Police (FOP) in good standing. Both active and retired law enforcement officers can apply, provided they meet certain requirements under the Law Enforcement Officers Safety Act (LEOSA). Always ensure that you fulfill all the necessary criteria before submitting your application.

What payment options are available for the HR-218 application?

You have two payment options when submitting the HR-218 application: check or credit card. If you choose to pay by check, make it payable to FOP Legal Plan, Inc. If you prefer using a credit card, please ensure that all required information on the application is completed correctly.

What happens if my application is not fully completed?

If your application is incomplete or inaccurate, it may result in ineligibility for benefits. It's essential to fill out the form carefully and double-check all your information before submitting it. Ensure that every required field is filled in to avoid any delays or denials of coverage.

What is the deadline for submitting the HR-218 application?

All applications and payments must be received by the Hylant Group by the last business day of the month to start coverage on the first day of the following month. Be mindful of this deadline when submitting your application to ensure you receive the benefits you need.

What are the specific requirements under LEOSA for retired officers?

Retired officers must have had powers of arrest during their service. They need to have retired in good standing after at least 15 years of service or due to a duty-related disability. Additionally, a certification must have been issued by the state within the most recent 12 months, confirming they meet current standards for carrying firearms.

Can I renew my coverage automatically?

Yes, you can opt for automatic renewal by checking the corresponding box on the application form. If you choose this option, payments will be deducted from your account automatically unless you notify them otherwise. This can help ensure that there is no lapse in your coverage.

What should I do if I have questions about the application?

If you have any questions regarding the HR-218 application or the benefits provided, you can contact the FOP Legal Defense Plan through various means. You can call the provided phone number, send a fax, or reach out via email. They are there to assist you with any concerns you may have.

Where should I send my completed HR-218 application?

Completed applications should be sent to the FOP Legal Defense Plan at the address listed at the bottom of the application. Specifically, the address is Hylant Group, P.O. Box 1687, Toledo, OH 43603. Make sure to send your application and payment in a timely manner to meet the deadline.

Common mistakes

When filling out the HR-218 Application form, applicants often encounter several common mistakes that can lead to delays or ineligibility. Understanding these errors can help ensure that the application process runs smoothly.

One prevalent mistake is the incorrect entry of personal information. Submitting the application with misspelled names, wrong addresses, or inaccurate phone numbers can create significant issues. Such discrepancies can hinder communication and delay processing times. Always verify that all personal details are entered accurately.

Another frequent error involves payment information. Applicants sometimes fail to indicate their preferred payment method. The application requires a clear choice between paying by check or credit card. Not making this selection can lead to automatic rejection. It is crucial to ensure this section is filled out clearly and completely, avoiding any ambiguity.

Completing the SSN field inaccurately can also result in issues. Providing the last four digits of the Social Security Number demands precision. Omitting this information or entering it incorrectly makes it more challenging to verify eligibility, which can cause delays or denials in benefits.

Failing to check the eligibility criteria set forth by the Law Enforcement Officers Safety Act (LEOSA) is another mistake applicants often make. They might submit the application without confirming their compliance with the necessary requirements for active or retired officers. Applicants should thoroughly review and understand these prerequisites before submission.

Additionally, neglecting to provide clear and complete payment information, especially for credit card transactions, can slow the process. A missing card number, expiration date, or cardholder name can lead to payment issues. It is vital to ensure all required payment details are included and accurate.

Some individuals mistakenly believe they can apply without being in good standing with the FOP. This misunderstanding can lead to application rejection, as membership status directly impacts eligibility. Before submitting the application, ensure you are aware of your membership status.

Additionally, it is vital that applicants pay attention to deadlines. Submitting the application late can impact coverage start dates. Be mindful of the requirement that applications and payments must be received by the last business day of the month prior to the intended coverage period.

Finally, overlooking the requirement to certify eligibility upon submission of the application is a common mistake. This section is critical, as submitting the form indicates that you meet all qualifications. Ensure this is thoroughly addressed to avoid processing issues.

By avoiding these common pitfalls, applicants can enhance their chances of a successful application process and ensure timely access to the benefits provided under the HR-218 program.

Documents used along the form

The HR-218 Application form is a crucial document for members of the Fraternal Order of Police (FOP) who wish to apply for benefits under the Law Enforcement Officers Safety Act (LEOSA). Alongside this application, several other forms and documents may be required or recommended to ensure smooth processing and eligibility for benefits. Here is a list of related documents often used with the HR-218 Application:

  • FOP Membership Verification Form: This confirms a person’s active or retired status within the FOP. It is necessary to establish eligibility for benefits.
  • Payment Authorization Form: If paying by credit card, this document must be completed to authorize charges and provide payment details.
  • LEOSA Eligibility Certification: Required to validate that the applicant meets the LEOSA criteria for carrying a firearm and relevant service requirements.
  • Documented Proof of Service: This may include retirement letters or service records that show the duration and type of law enforcement service performed.
  • State Certification Document: This is issued by the state and certifies that the retired officer meets the current standards for firearm carry.
  • Tax Information Release Form: If the benefits provided are taxable, this allows the FOP to handle any necessary tax paperwork efficiently.
  • FOP Legal Defense Plan Handbook: This handbook gives detailed information about coverage, benefits, and procedures related to participating in the plan.

Submitting the correct forms will help ensure that your application process for benefits is timely and complete. Each of these documents plays a significant role in verifying eligibility and ensuring compliance with LEOSA requirements.

Similar forms

  • Membership Application Form: Similar to the HR218 Application, this form collects personal details like name, contact information, and employment status for individuals seeking membership in an organization.
  • Insurance Application Form: Both forms require personal information and payment details to establish eligibility for coverage. They often have stipulations regarding the applicant's status (active vs. retired) affecting their eligibility.
  • Certification Application: Just like HR218, this document may ask for specific qualifications related to a profession and requires signatures to confirm the applicant meets the criteria established by governing bodies.
  • Permit Application: This document shares similarities in terms of needing personal details, verification of eligibility, and adherence to specific legal standards, just as the HR218 does for law enforcement officers.
  • Loan Application: Both types of applications require personal identification, proof of status (such as employment), and payment preferences. They typically insist on accuracy to avoid eligibility issues.
  • Tax Exemption Form: The structure is alike as both forms necessitate personal data and affirmation of meeting specific requirements to receive tax benefits or coverage.
  • Access Granting Application: Much like the HR218 Application, this document may require verification of credentials and membership status while also gathering personal information.
  • Voter Registration Form: This form and the HR218 Application both require voters to provide personal information and may involve certification of eligibility to participate in specific rights.
  • Workplace Benefits Enrollment Form: Both documents ask for details about the individual’s employment status and may require payment decisions regarding benefit coverage.
  • Professional Licensing Application: Like the HR218 Application, this form requires confirmation of credentialing and may demand supporting documents to validate the applicant's qualifications.

Dos and Don'ts

When completing the Hr218 Application form, follow these important guidelines to ensure it is processed correctly.

  • Do provide accurate personal information, including your name, address, and contact details.
  • Do check that all required fields are completed before submitting the application.
  • Do ensure that payment information is filled out correctly for timely processing.
  • Do verify that you meet all eligibility requirements outlined in the application.
  • Don't submit the form without reviewing it for errors or missing information.
  • Don't ignore important deadlines; late applications may lead to delayed coverage.

By following these steps, you can help ensure that your application process goes as smoothly as possible. Your attention to detail can help avoid issues that may affect your eligibility for benefits.

Misconceptions

When it comes to the HR-218 Application form, misunderstandings are common. Here are five misconceptions that need clarification:

  1. Misconception 1: Anyone can apply for the HR-218 benefits.

    Only members of the Fraternal Order of Police (FOP) who are in good standing can apply. If you’re not a member, unfortunately, you won’t be eligible for benefits.

  2. Misconception 2: You can submit the application anytime and still receive coverage the next day.

    That’s not the case. Applications must be received by the last business day of the month for coverage to begin on the 1st day of the following month.

  3. Misconception 3: The HR-218 application is easy to fill out and doesn’t require much personal information.

    This form requires specific details like your FOP ID number and a certification from your state. Incomplete applications may result in being ineligible for benefits.

  4. Misconception 4: As long as you were a law enforcement officer, you qualify for benefits without any additional requirements.

    That’s incorrect. You must meet certain criteria, such as having a certification issued within the last 12 months, to be eligible.

  5. Misconception 5: Payments for the HR-218 application can be made at any time without consequences.

    If payment is not made, coverage won’t start. If you pay by check, make sure it’s made out correctly to avoid any delays in processing your application.

Clearing up these misconceptions can help ensure that you understand the application process better and can take the necessary steps to secure your benefits!

Key takeaways

Filling out and utilizing the HR218 Application form is an important process for eligible law enforcement officers. Below are key takeaways to keep in mind:

  • Accurate Information: Ensure all information is filled out completely and accurately. Incomplete forms can lead to ineligibility.
  • Eligibility Requirements: Confirm eligibility under LEOSA. This includes having powers of arrest and meeting state standards for firearm use.
  • Age and Service: If retired, be aware that you must have served a minimum of 15 years or have a duty-related disability to qualify.
  • Certification: Obtain a certification from your state within the last 12 months, confirming that you meet standards to carry firearms as an active officer.
  • Payment Options: Choose between payment by check or credit card. Always ensure payments are made to the correct entity and apply in time.
  • Renewal Process: Familiarize yourself with the automatic renewal process if you choose that option. Ensure you notify the organization if you wish to opt out.
  • Application Submission: Send your completed form to Hylant Group before the last business day of the month. This timing is crucial for coverage to begin by the following month.
  • Contact Information: Keep the contact information of FOP Legal Defense Plan handy. Reach out if you have questions or need assistance.
  • Good Standing: You must be a member of the FOP in good standing. Ensure your membership status is current to receive benefits.

Following these guidelines can simplify the process and ensure that you are adequately protected. Always double-check your application for completeness and accuracy before submission.