Annual Compliance Report For Certified Agencies Page 2
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23. During the past 12 months, have there been any significant developments that have had or are likely to
have a substantial impact on the way in which your agency implements program standards?
Yes__________
No__________
If yes, please explain:__________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
4. During the past 12 months, has the agency substantially revised the policies and procedures used to
implement any of the program standards?
Yes__________
No__________
5. During the past 12 months, has the agency initiated any new services or assumed new responsibilities
that fall within the scope of standards, which were previously considered to be not applicable?
Yes__________
No__________
If yes, describe and indicate whether or not the agency has developed policies and procedures to
implement the standard(s) in question._____________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
CHIEF EXECUTIVE OFFICER CERTIFICATION: I hereby certify that this agency continues to
comply with all applicable certification standards except as may be indicated above.
Signature of Chief Executive Officer:________________________________________________________
Printed Name of Chief Executive Officer:_____________________________________________________
Date:____________________________________
Prepared by:____________________________________________________________________________
Title:____________________________________
Telephone: (
)____________________________
Please return this form and all supporting documentation to:
Mark Bender, Director of State Certification
Law Enforcement Agency Certification Program
3500 Duluth Park Lane, Suite 700
Duluth, Georgia 30096
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Rev. 04/2013
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