Law enforcement termination reassignment 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of your agency or department along with the telephone number in the designated fields.
3. Fill in the mailing address for your department, ensuring accuracy for proper communication.
4. Record the full name and social security number of the officer being reported. This information is crucial for identification purposes.
5. Indicate the date of termination or reassignment. Specify if the officer is certified, and whether they are full-time, part-time, or auxiliary. If certified, remember to return their original certificate with this form.
6. Select the reason for termination from the provided options and provide any necessary explanations in the comments section.
7. Ensure that the form is signed and dated by an authorized individual from your agency before submission.
8. Once completed, submit the form to the specified address promptly within ten working days.

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