LEOFA Training Materials Request

Required field =

Official email addresses only; .com addresses cannot be utilized

Full Name:

Last Name:

Title:

Phone:

Email Address:

Department:

Address:

City:

State

ZIP Code:

Supervisor’s Name:

Supervisor’s Title:

Supervisor’s Phone:

Supervisor’s Email:

Agency's ORI Number:

Does Officer/Agency meet CFR 1544.219?

Yes

No

Operational Need to Fly Armed:

* We will remove the following special characters like @, #, $, %, &, -, ", {, (, [ or > . Please do not include them in your submission.