Please choose the appropriate form and click on the link to download the form
Forms
.Volunteer & Exempt Firemen's
Benevolent Association
of Lynbrook, N.Y.
Dedicated to Past, Present and Future Members
If you require any additional help in completing the form, please contact one of the Trustees
or contact the Benevolent office at 516-599-2590
This page was last updated: May 3, 2026
There is a $10.00 application and $2.00 dues fee with this application.
Please download, print and return to your Company representative.
There is a $5.00 fee for the Change of Beneficiary
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Please Complete Entire Form
Please download, print and return to your Company representative.
Prescription Program Reimbursement Form
Form is due by January 31 if the following year
Dependent Add/Remove Form
Change of Address/Email
Coming Soon!
Davis Eyeglass Program Information
