Reinstatement of Peace Officer License

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					                              Commission Rule 217.20 Retired Peace Officer Reactivation

According to 1701.159, a retired peace officer holds an inactive license unless the license was revoked for cause under
Section 1701.501.

    Applicants must meet the following requirement including submission of:

       A sworn affidavit stating:
       (a) the officer honorably retired after not less than a total of 15 years of service as a commissioned officer with
           one or more state or local law enforcement agencies;
       (b) the officer's license as a commissioned officer was not revoked or suspended for any period during the
           officer's term of service as a commissioned officer;
       (c) retired from service with such agency, after completing any applicable probationary period of such service,
           due to a service-connected disability, as determined by such agency;

To meet the current licensing requirements of TCLEOSE Rule 217.1, you must have a national criminal history records
check based on your fingerprints. One method is to utilize the Fingerprint Applicant Services of Texas (FAST) or submit
to DPS a police applicant card bearing TCLEOSE’s ORI number to conduct a fingerprint search. The fingerprint cards are
available from TCLEOSE. Finger print cards submitted to DPS take up to a month to process. Questions about
fingerprint process call (512) 936-7700.

1. Reactivating your retired peace officer license requires 40 hours of training based on your certificate level when you
retired. TCLEOSE provides online training (POSEIT) through our website

1a. No Certificate or Basic PO Certificate, do all required classes. Additional training may be required to equal 40 hours.

                                          No Certificate or Basic PO Certificate
        3939 Culture Diversity                Courses Equivalent to 3939
                                              394     Cultural Diversity Web with Exercises (POSEIT classes)
        3232 Special Investigative
                                              Courses Equivalent to 3232
                                                      All 4 of these (POSEIT classes)
                                              3224    Child Abuse Web with Exercises
                                              3214    Family Violence Web w/ Exercises
                                              3254    Sex Offender Characteristics Web with Exercises
                                              3244    Sexual Assault Web with Exercises
        The current State and Federal Law Update

        Only one of the following: (classroom only)
            3840     C.I.T. Train the Trainer
            3841     Crisis Intervention Training
            3843     Crisis Intervention Training Update
            4001     Mental Health Officer Training Course

1b. Intermediate, Advanced or Masters Certificate only 1 required class with your 40 hours.
                                       Intermediate, Advanced, Masters Certificate
        The current State and Federal Law Update
        Additional classes to fulfill 40 hour requirement

Retired P.O. Reactivation 10.11.2011                                                                           Page 1 of 3
This document is your FAST Fingerprint Pass for a national criminal history record check. Please schedule a fingerprint appointment
by visiting or by calling 1-888-467-2080. You must pay the $9.95 fee for FAST services online with a credit
card or onsite with a check or money order. Cash is not accepted!

1.   Logon to                                 6. Select TCLEOSE
2.   Select: Texas                                                 7. Enter: TX227011Y
3.   Select: Online Scheduling                                     8. Enter: Hiring Agency ORI, TX 227011Y
4.   Select: English or Espanol                                    9. Follow the prompts to enter requested information.
5.   Enter: First and Last Name                                    10. Bring this completed form with you to your appointment

Section One: Qualified Entity Information
TCLEOSE ORI#: TX227011Y Hiring Agency ORI: _TX___________                  Original TCN: ________________________________
                                                                                        (If resubmission for rejected fingerprints)
Hiring Agency or Academy Name: ________________________________________________________________________________________
Contact: ______________________________________________________________________________________________________________
Hiring Agency or Academy Address: ______________________________________________________________________________________
Street Address City State Zip

Section Two: Applicant Name (To be completed by applicant)

Last: ______________________________________ First: _________________________________ Middle: ________________________
                  (Please print)

Section Three: Waiver Information (To be signed by applicant)

I certify that all information I provided in relation to this criminal history record check is true and accurate. I authorize the Texas
Department of Public Safety (DPS) to access Texas and Federal criminal history record information that pertains to me and disseminate
that information to the designated Authorized Agency or Qualified Entity with which I am or am seeking to be employed or to serve as a
volunteer, through the DPS Fingerprint-based Applicant Clearinghouse of Texas and as authorized by Texas Government Code
Chapter 411 and any other applicable state or federal statute or policy. I authorize the Texas Department of Public Safety to submit my
fingerprints and other application information to the FBI for the purpose of comparing the submitted information to available records in
order to identify other information that may be pertinent to the application. I authorize the FBI to disclose potentially pertinent
information to the DPS during the processing of this application and for as long hereafter as may be relevant to the activity for which
this application is being submitted. I understand that the FBI may also retain my fingerprints and other applicant information in the FBI’s
permanent collection of fingerprints and related information, where all such data will be subject to comparisons against other
submissions received by the FBI and to further disseminations by the FBI as may be authorized under the Federal Privacy Act (5USC
552a(b)). I understand I am entitled to obtain a copy of any criminal history record check and challenge the accuracy and completeness
of the information before a final determination is made by the Qualified Entity. I also understand the Qualified Entity may deny me
access to children, the elderly, or individuals with disabilities until the criminal history record check is completed

Signature: ______________________________________________________ Date: __________________________________________

Section Four: Service Center Information (To be completed by FAST Enrollment Officer)

Date Prints Taken _______________________ Amount Charged For Service:      $9.95

Paid by:      Check     Money Order    Visa   MasterCard   Billing Acct _____________________________________________________

TCN: ____________________________________________________________


E.O. Name: ________________________________________________ E.O. Signature: ________________________________________________
                 (Please print)

Retired P.O. Reactivation 10.11.2011                                                                                                  Page 2 of 3
            2. Ret ur n t hi s app li c at i on and , r equ i red n on - r efu nd abl e $ 15 0 .0 0 f e e. TEX AS
                                    COMMISSION ON LAW ENFORCEMENT
                                   OFFICER STANDARDS AND EDUCATION
                                                6330 E. Highwa y 290, STE. 200
                                                  Austin, Texas 78723-1035
                                                          Phone: (512) 936-7700

                                       Commission Rule §217.20

Return this application with a (non-refundable fee of $150.00 (money order, agency or cashier’s
check) payable to the Texas Commission on Law Enforcement Officer Standards and Education
(TCLEOSE). Any required documents must accompany this original application.
                                          Incomplete applications will not be processed.
                                                   A P PL IC A NT I NFO RM A T IO N
 1. TCLEOSE PID          2. Last Name                              3. First Name                                    4. M.I.    5. Suffix (Jr.

 6. Driver’s License                   7. Date of Birth       8. Race / Ethnicity                                                9. Gender
 State:                                                          American Indian or Alaskan Native          Asian                   Male
                                            /      /
 Num.:                                                              Black     Hispanic      Multicultural       White                 Female
 10. Home Mailing Address                                      11. City                                                   12. State

 13. Zip Code                      14. Phone Number                                      15. E-mail

     (5119) Retiree Reactivation

     The current continuing education requirements have been completed;
     Fingerprint process has been completed;
     Certified check or money order in the amount of $150.00.

On signing this document I understand that I have met the current requirements of Occupations Codes §1701.3161 to
reactivate my peace officer license. I am fully aware that this application is a government document and, under penalties
of perjury, I declare the foregoing information to be true and correct.

_________________________________________________                                                      ________/__________/__________
Signature of Applicant or License Holder                                                                           Date

                                            Sworn to and subscribed before me, this the ______________day of __________________, _____

Notary public in and for, State of Texas
              My Commission expires ______/______/______                                       _____________________________________
                                                                                                        Printed Name of Notary

Notary Seal or Stamp                                            _________________________________________________
                                                                                   Signature of Notary

Retired P.O. Reactivation 10.11.2011                                                                                            Page 3 of 3

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