Completed forms can be sent inter-dept mail to Jim Gruenfelder at the SOA office or mailed to the PO Box on the form.
Dept Order Ref Time Donation / User Use Form
Donation / Use of Time Form
Completed forms should be submitted to Chief of Department for reimbursement of time used for deployments.
Contact Jim Gruenfelder with all questions regarding these forms
The Suffolk County Police Historical Society is recruiting members to support the organization.
The membership form is attached below.
Additionally, commemorative bricks for the patio in front of Police Headquarters are available.
The form is below as well.
2018 Scholarship Forms
The SOA is pleased to announce that you can apply for three different scholarships for your high school and college students. Please review the eligibility requirements and restrictions and follow the instructions carefully as they vary. Remember to mail each application timely so that it is received by the date listed to the address provided on it as each goes to a separate place. Late or incomplete applications will not be entered in the drawing. The winners will be picked at the June open meeting and then posted on the website. Good luck to all our applicants!
2018 SOA Scholarship Form (June)
$2500 Sgt. Lawrence Devine Scholarship (1 winner)
$1000 Sgt. Tim Henck Award (1 winner)
$500 (10 winners)
2018 NY Law Enforcement Foundation Scholarship Form (June)
$1000 (1 winner)
2018 Police Reserves Scholarship Form (June)
$1000 (2 winners)
2018 The Anthony P. Cuomo Scholarship (December)
$800 (1 winner)
2018 Form below
2018 Scholarship Winners
Lawrence Devine – Michael O’Leary
NYS Law Enforcement – Andrew Byrne
Tim Henck – Bryan Langdon
SOA: 1. Megan Fives
2. Andrew Tamis
3. Kaylie Murphy
4. Allison Mahan
5. Ryan DiResta
6. Celine DeSantis
7. Alison Maxwell
8. Travis Williams
9. Isabella Lavista
10. Allison Alfano
Alternates: 1. Nicholas Leotta
2. Jillian McManus
3. Dana Fasano
4. Kieran Fitzgerald
5. James Hopkins
All winners will be contacted by mail.
Here are the SOA Benefit Forms for:
Davis Vision - Out of Network
Healthplex Dental - please note new mailing address on form
Hearing Aid Benefit
Prescription Drug Reimbursement
Participating Dentist List Revised 11/6/18
NYS SAFE ACT-Pistol OPT-OUT
SCPD Pistol Permit form
Forms must be submitted to the Pistol Licensing office that issued your permit.