Benefit Requests

In order to receive assistance from the Benevolent Foundation, you must first complete an application.  The IRS requires us to do this, so they can be guaranteed that all requests are treated the same.  Please help us to help you.

Click on the link below, and print the .pdf form. Fill it out and mail it to the CCPOBF, PO Box 678, Clackamas, OR 97015.  Thank you.

CCPOBF Request Form 2017

Providing charitable assistance to the Law Enforcement community and citizens of Clackmas County