Professional Fire Fighters of Massachusetts (PFFM)

The PFFM

PFFM Retirement Citation Request Form

REQUEST MADE BY:

Your First Name *

Your Last Name *

Shipping Address *

City *

State *

Zip *

Your Cell Phone *

Your Email Address *

RETIREE INFO:

Retiree First Name *

Retiree Last Name *

Retiree Local Name & Number *

Years of Service *

Date of Hire *

Date of Retirement *

Comments

* Required Fields

Professional Fire Fighters of Massachusetts

2 Center Plaza, Ste 4M
Boston, MA 02108
617-523-4506