Online Enrollment System (OES)

Welcome to the First Responders Benefit Trust - Online Enrollment System (FRBT-OES) Registration Page.
Please complete the form below. * = OPTIONAL Entry

First Name Last Name
SSN Date of Birth
Street Address City
State Zip Code
Phone #1 Work Mobile Home
() -
Phone #2 Work Mobile Home
() -
Email Address
Beneficiary Relationship to Member
 
Agency Badge #
Rank Years of Service
* TCLEOSE #  
 
Affirmations
1. I affirm that I am a fulltime peace officer licensed by the state of Texas.
2. I affirm that I am actively at work and not currently injured, disabled, on FMLA, or receiving any type of disability benefits.
3. I affirm that I have read and I agree to the FIRST RESPONDERS BENEFIT TRUST Accident Disability Coverage & Accidental Death & Dismemberment Coverage Benefits, Definitions, Policy Terms, Conditions, and Exclusions. [Click HERE to open document.]
 
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