Forms and Applications

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Law Enforcement Agencies and Academies

Pre-Enrollment Physical Fitness Exam Physician's Health Screening Form

This form should be completed prior to the Pre-Enrollment Physical Fitness Exam. This form must be completed by a Physician, Physician Assistant or Nurse Practitioner. This form will attest that the examinee is physically capable of performing the 4 exercises listed that are required to be performed during the MCOLES Physical Fitness Test.

Law Enforcement Officer Applicant Drug Test Report Form

This form is to be used ONLY for reporting those applicants who have tested positive or failed to provide a urine specimen as instructed. 

LED Expenditure Report Addendum

This spreadsheet should be completed if your agency requires changes to prior years Law Enforcement Distribution (LED) expenditures you reported during Annual Registration.

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MCOLES Information and Tracking Network (MITN)

NOTE: All signed, completed agency agreements and addendums should be scanned and EMAILED to the Licensing Services Section at msp-mcoles-licensing@michigan.gov or FAXED to 517-636-7886.

MCOLES Information and Tracking Network (MITN) User Agency Agreement

This Agreement serves as an application for Law Enforcement Agencies, Basic Law Enforcement Training Academy and In-Service Training Providers to gain access to the MCOLES Information and Tracking Network (MITN).

MCOLES Information and Tracking Network (MITN) Operator Agreement

This application should be completed and signed by the entity head to add individuals as a MITN operators for your agency.

MCOLES Information and Tracking Network (MITN) Law Enforcement Agency User Agreement Addendum

This document will serve as an Addendum to the original User Agency Agreement previously entered into between MCOLES and the Law Enforcement Agency.

MCOLES Information and Tracking Network (MITN) Criminal Justice Training Agency User Agreement Addendum

This document will serve as an Addendum to the original User Agency Agreement previously entered into between MCOLES and the Criminal Justice Training Agency.

MCOLES Information and Tracking Network (MITN) Basic Training Academy User Agreement Addendum

This document will serve as an Addendum to the original User Agency Agreement previously entered into between MCOLES and the Basic Training Academy.

MCOLES Information and Tracking Network (MITN) Law Enforcement Officer Access Agreement

This Agreement serves as an application and an agreement for access by this law enforcement officer to the MCOLES Information and Tracking Network system and data contained therein regarding this officer’s Michigan training and employment records. 

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In-Service Training

Out-of-State Special Use Request 

This application should be used if your agency would like to send officers out-of-state for training and you wish to use Law Enforcement Distribution (LED) funds. This application must be completed prior to the training.

Equipment Special Use Request

This application should be used if your agency would like use Law Enforcement Distribution (LED) funds to purchase equipment that exceeds $5,000 or 10% of your agency's annual distribution. This application must be completed prior to purchasing the equipment.

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LEOSA

Application For Law Enforcement Officers Safety Act (LEOSA) Certification

This application should be completed for Law Enforcement Officers Safety Act (LEOSA) certification and certification renewal.

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Recognition of Prior Training and Experience (RPTE)

Recognition of Prior Training and Experience Application Packet

This application should be used to apply to the Recognition of Prior Training and Experience (RPTE) program.

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Public Safety Officer Benefit Act (PSOB)

PSOB Death Benefit Application

This application should be completed to apply for the PSOB death benefit.

PSOB Disability Application

This application should be completed to apply for the PSOB disability benefit.

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