Registration For Existing NYSCOPBA Members First Name* Enter your name as it appears on paycheck/paystub Last Name* Enter your name as it appears on paycheck/paystub Employee ID (NUMBERS ONLY)* *RETIREES: Use last 4 digits of your Social Security number.* Used to validate your membership in NYSCOPBA. Please enter numbers only here. If your employee ID starts with a zero, please include it (i.e. 0###### instead of ######). Date of Birth:*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Seniority Date:Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Supervisor Seniority DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Are you a Veteran?* Yes No Preferred contact number:*Contact Phone Type:*Select oneHomeMobileEmail* A temporary password will be sent to this email address. Once you use it to sign in, you can reset password to one of your choice.NOTE: We cannot allow members to use work email addresses (such as - .omh, .gov, .ny, .edu, etc.). You must use a personal email address. Username* Please enter your desired username. Do not use spaces or special characters (i.e. #$%!*). Member Login Username Password Forgot your password? Login Create your account here. Forgot your password?
