Fillable Training Certification Form printable pdf download

Training Certification Form

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(Contractor Name)

CJIS

Security Awareness

Training Certification Form

Criminal Justice Information Services (CJIS) Security Policy

I acknowledge that I have viewed the Security Awareness course material provided by

(Contractor Office) or have attended Security Awareness Training provided by my employer. I

further acknowledge that I am responsible for familiarizing myself with the documents contained

on the Security Awareness training and that I can be held civilly and/or criminally

accountable for failing to comply with the rules and requirements set forth therein. As per

CJIS Regulations this training must be attended every two years. Consider all fields on

this form MANDATORY.

Please Complete on the Computer or Print Legibly:

First Name: ____________________________ Last Name: ________________________________

Date of Birth ____________________ Identification Number ________________________State: ____

Email: ____________________________________________________________________________

Company or Personal Email

Classroom Training Provided by: ________________________________________________________

Company and Phone Number

Contractor

Date of Training: _____________________

Classroom Training

(Check Type of Training)

By signing this form I acknowledge that I have viewed the Security Awareness Presentation through

(Contractor Office) or received Security Awareness Training through a Company Training program and

understand the rules, regulations and security associated with working on computers, computer

networks, or in facilities that may provide access to criminal justice information.

Signature: _______________________________________

Date: ___________________________

Training Certification Form

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