Fillable Form Lea-Bpot - Police Officer Training Paperwork Checklist printable pdf download

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―

POLICE OFFICER TRAINING PAPERWORK CHECKLIST

The following documents must be submitted for enrollment in the New Mexico Department of Public

Safety Training Center’s Basic Police Officer Training Program, or New Mexico Regional Academy

Program. Incomplete applications will be returned.

ITEMS REQUIRED

ITEMS REQUIRED BY ALL APPLICANTS

PPLICANTS

Form No. LEA-1 –

Application for Admission/Certification.

Form No. LEA-2 –

Employment Verification. Form must have original signatures.

Form No. LEA-3 –

Medical Examination Procedures, Medical History Statement and Medical Selection

Guidelines. Examination must be dated within one year prior to admission to applicable program. Must have

original signatures. (pages 1-17).

Form No. LEA-4 –

Current Psychological Examination. Form must have original signatures. Examination

must include psychologist’s narrative and be dated within one year prior to admission to applicable programs.

Form No. LEA-5 –

Fingerprint Affidavit. Form must have original signatures. . Submit only after FBI and

DPS clearances have been received.

Form No. LEA-6 –

Applicant Affidavit. Form must have original signatures.

Form No. LEA-8 –

Waiver of Liability. Form must have original signatures.

Form No. LEA-9 –

Release of Information. Form must have original signatures.

copy of high school diploma, G.E.D. certificate or college diploma

Notarized

Form No. LEA-12 –

Applicant Affidavit of United States Citizenship or proof of U.S. citizenship issued by

an official government agency. Hospital birth records and baptismal records are not acceptable. Photocopies

of birth certificates and Naturalization papers are not legal under New Mexico Law.

Form No. LEA-14 –

Physical Fitness Verification. Form must have original signatures

- Training Certification for FIRST AID & CPR

Form No. LEA-15

- Applicant Affidavit of proof of possession of a current valid driver’s license.

Form No. LEA-16

- Agency Employment Action. Form must have been previously submitted by employing

Form No. LEA-82

agency or attached to this application.

copy of DD214 form (if applicant has had military service) must have character of service.

Notarized

Mail Entire Packet to:

New Mexico Department of Public Safety

Training Center, DPS/TRD, ATTN: BASIC

4491 Cerrillos Road, Santa Fe, NM 87507

DPS Use Only: DPS Use Only:

Basic Bureau Review by:______________________ Date_________________

Regional Academy Review by:__________________ Date _________________

Incomplete - Returned to agency/academy

Date returned:_____________________________

Approved by Deputy Director_________ Date approved:____________________________

Date Permanent file created:_________________________________ File number_________________

Skills manger profile created by____________________ Date___________________________

Profile creation pending. Reason:________________________________________________________

Academy Location:_______________________

Academy Dates___________________________

Revised 01-17-12

LEA-BPOT

Form Lea-Bpot - Police Officer Training Paperwork Checklist

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