Professional Staff Member Application


Colorado State Patrol Association

App - Professional Staff

 

 

Personal Info


State email addresses are not acceptable.

You must use a personal email address for your account. The association is a separate entity from the State Patrol. We cannot accept @state email addresses. Please enter a personal email address.

CSP Employment Info


 

PLEA Group Legal Defense is the legal defense for association members. As a member, this valuable policy provides you with 24-hour coverage for both duty-related civil, criminal, and administrative actions. “Plan A” of the HR-218 legal defense coverage, and an additional $5,000 of Accidental Death & Dismemberment (AD&D) coverage are included in the plan. This optional benefit is $13.75 per month, and is a small price to pay for peace of mind protection. The benefit is available to both sworn and civilian members. 

24 Hours a Day – 7 Days a Week – 365 Days a Year

Legal Defense Coverage


Eligibility

I hereby apply for enrollment in the PLEA Legal Defense Fund and Participation in the PLEA Trust. I agree to abide by all terms and conditions
thereof. I understand that no benefit is in effect until this Enrollment Form is approved by the Plan Administrator. To my knowledge, I am not
presently named in any suits, actions, or proceedings, nor under investigation for a duty-related incident, except the following for which there
would be no benefit under the Plan:


Please sign here

Insurance Coverage

At NO additional cost to you, your legal defense plan includes a $5,000 AD&D (Accidental Death & Dismemberment) wage recovery benefit. It is valid 24 hours (on or off duty). Please identify your beneficiary for this benefit below.


Almost Done...

To complete your membership process,  press the "Join Now!" button below. You will be redirected to the secure checkout page where you'll enter your payment information and complete your membership. 


Your monthly recurring dues with PLEA coverage included will start at
$33.75 and will increase to the standard rate of $42.75 after the first year.

Your monthly recurring dues with PLEA coverage included will be
$33.75

Your monthly recurring dues will start at $20 and will increase to the standard rate of $29 after the first year.

Your monthly recurring dues will be
$20

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