New Member Forms

You can download the forms to join PHPA on this page. Please download the forms and complete on your computer. You should print them out and bring them to the PHPA office. Please note: some portions of the forms need to be completed at the time of registration at the PHPA office. Those portions will be filled with a grey box and you won’t be able to complete on the computer.

Here are the forms you’ll need. Please download each file individually.

Membership Application Form

Payroll Deduction Form

Insurance Authorization Form

Life Insurance Form

Unum LTD Form

Unum Beneficiary Form