Public Safety Telecommunicator Continuation Of Certification - Annual In-Service Training Report (2014-2015) Form - New Mexico

Download a blank fillable Public Safety Telecommunicator Continuation Of Certification - Annual In-Service Training Report (2014-2015) Form - New Mexico in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Public Safety Telecommunicator Continuation Of Certification - Annual In-Service Training Report (2014-2015) Form - New Mexico with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

New Mexico Department of Public Safety Training Center
4491 Cerrillos Road, Santa Fe, New Mexico 87507
(505) 827-9251―(877) 237-7532 (NM Only) ―Fax: (505) 827-3449―
Page: 1 / 2
Public Safety Telecommunicator
Continuation Of Certification─Annual In-Service Training Report
Reporting Period:
Year 1(Biennium Period): 2014
Year 2(Biennium Period): 2015
Pursuant to DPS LEA Rule 10.29.7.9, the listed courses are submitted in fulfillment of the TEN (10) hour
annual in-service training requirements. (Due no later than January 15th of each year.)
Name_______________________
________________________
________________________
Last
First
Middle
Date of Birth ________________SSN______________________Gender_________________
NM State Public Safety Telecommunicator Certification #:_________________________________________
Home Address:_________________________________ City____________________________ State______
Zip______________ Contact Number_______ - ________________________________
Training Certification
I __________________________________________ hereby certify that the attached (page 2)
(Certified Public Safety Telecommunicator/Individual requesting continuation of certification)
information is true and correct and I have completed the listed courses and I have attached as proof of
attendance my training certificate(s),
OR
a memorandum of completed training, from the Sponsoring Agency/Training Director/Instructor as proof of
completion of training.
Signature______________________________
Date________________________
(Submitting Public Safety Telecommunicator)
Revised 05-28-14
LEA-85B

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Lea-85a - Continuation Of Certification - Annual In-service Training Report Form Lea-85a - Continuation Of Certification - Annual In-service Training Report Legal
Continuation Of Certification Annual Firearms Training Report Form - New Mexico Department Of Public Safety Training Center Continuation Of Certification Annual Firearms Training Report Form - New Mexico Department Of Public Safety Training Center Legal
Form Lea-pst - Safety Telecommunicator Training Paperwork Checklist Form - New Mexico Department Of Public Safety Training Center Form Lea-pst - Safety Telecommunicator Training Paperwork Checklist Form - New Mexico Department Of Public Safety Training Center Legal
Report Of Cigarette Sales In New Mexico Counties And Municipalities Form - New Mexico Taxation And Revenue Department Report Of Cigarette Sales In New Mexico Counties And Municipalities Form - New Mexico Taxation And Revenue Department Financial
Annual School Influenza (flu) Immunization Consent Form - New Mexico Department Of Health 2015-16 Annual School Influenza (flu) Immunization Consent Form - New Mexico Department Of Health 2015-16 Legal
In-service Sign-in Form And In-service Training Participation Record In-service Sign-in Form And In-service Training Participation Record Business
In-service Training Record Form In-service Training Record Form Miscellaneous
In-service Training Requirement Waiver Form In-service Training Requirement Waiver Form Legal
Form Rpd-41287 12 - Calculation Of Estimated Corporate Income Tax - Penalty And Interest On Underpayment - New Mexico Taxation And Revenue Department - 2012 Form Rpd-41287 12 - Calculation Of Estimated Corporate Income Tax - Penalty And Interest On Underpayment - New Mexico Taxation And Revenue Department - 2012 Financial
Form Rpd-41356 - Pass-through Entity Owner's Quarterly Tax Payment Form - New Mexico Taxation And Revenue Department Form Rpd-41356 - Pass-through Entity Owner's Quarterly Tax Payment Form - New Mexico Taxation And Revenue Department Financial

Related Categories

Parent category: Legal
Download
Go
Page of 2