Apply for Membership

Contact Information

First Name

Please specify your first name.

Last Name

Please specify your last name.

Date of Birth

Please enter your date of birth, click calendar on the right and select date to confirm.

Business Email Address

Please specify your business email address. Email address must be in the format alias@domain.extension, for example joe@company.com.

Company Address

Please specify your company address.

Company Main Address City

Please specify your company main address City.

Company Main Address State

Please specify your company main address State.

Company Main Address Country

Please specify your company main address Country.

Company Main Address Zip Code

Same as Above

Actual Physical Work Address

Please specify your actual physical address .

Actual Physical Address City

Please specify your actual physical address City.

Actual Physical Address State

Please specify your actual physical address State.

Actual Physical Address Country

Please specify your actual physical address Country.

Actual Physical Address Zip

Please specify your actual physical address Zip.

How did you hear about us?

Please specify how you heard about the NYPD SHIELD program.


Suspicious Activity: Report Suspicious Activity to: 1-888-NYC-SAFE (692-7233) or 311 E-Mail: NYCSAFE@NYPD.ORG	Emergencies 911	Contact NYPD SHIELD: ctshield@nypd.org

Copyright © 2023 NYPD Shield Reproduction in part or in full of this content without written permission is strictly prohibited.