DJ-LE-317, 1/19 2026

1. Click ‘Get Form’ to open the DJ-LE-317, 1/19 in the editor.
2. Begin by entering your personal information in the designated fields: Last Name, First Name, Middle Initial, and last four digits of your SSN. Ensure accuracy for proper identification.
3. Fill in your contact details including Home or Cell Phone Number, Work Phone Number, Home Mailing Address, City, State, Zip Code, and E-mail Address.
4. Indicate your Sponsoring Agency by selecting the appropriate LESB-certified Training Academy or Law Enforcement Agency endorsing your certification.
5. In the INSTRUCTOR DEVELOPMENT section, check the box that applies to you and provide the Date Completed if applicable. Remember to attach your CJ-IDC Course Completion Certificate if required.
6. For OCCUPATIONAL EXPERIENCE and EDUCATIONAL EXPERIENCE sections, check all relevant boxes that apply to you. If applicable, include any necessary documentation from previous states.
7. In LAW ENFORCEMENT TOPICS and JAIL TOPICS sections, select all relevant topics for which you seek certification. Ensure you attach any required course completion certificates.
8. Finally, review all entries for completeness and accuracy before signing and dating the form at the bottom. Submit via fax or email as indicated.

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