Laserfiche WebLink
LOPFI <br /> ARKANSAS LOCAL POLICE & FIRE RETIREMEN T SYSTEM 620 W.3rd,Suite 200 <br /> Little Rock,Arkansas 72201-2223 <br /> Telephone:501.682.1745 <br /> Toll-Free:866.859.1745 <br /> Contact Information Sheet Fax:501.682.1751 <br /> email:info@lopfi-prb.com <br /> Please provide LOPFI with the following information: website:www.lopfi-prb.com <br /> Employer Name: I <br /> (Example: Town of, City of, Fire District, etc.) <br /> Name of County l faPflJ Primary Telephone: P70 —6 0—cq 700 <br /> Please indicate department status: (check all that apply) <br /> ® Paid Police not covered by social security - 15JBPI ❑BP2 <br /> ❑ Paid Police covered by social security - ❑BPI ❑BP2 <br /> ❑ Paid Police Academy covered by social security - ❑BPI ❑BP2 <br /> 91 Volunteer/auxiliary/part-paid Police - &BP3 ❑BP4 <br /> ❑ Paid Fire not covered by social security - ❑BPI ❑BP2 <br /> ❑ Paid Fire covered by social security - []BPI ❑BP2 <br /> ❑Paid Fire Academy covered by social security - ❑BP1 ❑BP2 <br /> ❑Volunteer Fire - ❑BP3 ❑BP4 <br /> Name of Main L <br /> ��1 i�Se. ()J; m"34(), Title:Contact for Employer: j <br /> Email for Main Contact: r %J- to_ ,epm <br /> Address for _ <br /> Business Mailing: �- - <br /> �-eS Ile <br /> Alternate Day <br /> Telephone: Fax: q'x -mac Q( <br /> Note: The main contact will have full permission access to keep all contact information <br /> up-to-date as required by LOPFI. <br /> If the main contact listed above will complete the Monthly Payroll Report,e-Payment and <br /> enroll new Members (have all permissions),please check this box: <br /> LOPFI Page 1 of 3 <br />