Conditions for Use of Retired Agent Credentials
By initialing beneath each condition and signing at the end of the document, bearer acknowledges his/her understanding of and agreement with all the terms and conditions stated herein: 1. This identification card is issued by the Internal Revenue Service Criminal Investigation (IRS CI) solely for identifying the bearer as a RETIRED IRS CI Special Agent. __________ Initials 2. The issuance or possession of this identification does not confer law enforcement status or arrest powers upon the bearer and, therefore, does not authorize the bearer to engage in or participate in any law enforcement activities or other investigations __________ Initials 3. The issuance or possession of this identification card does not authorize the bearer to carry or transport a firearm. __________ Initials 4. The issuance or possession of this identification card does not authorize the bearer to travel aboard a commercial aircraft while armed. __________ Initials 5. The issuance or possession of this identification card does not authorize the bearer to represent the IRS CI in any manner. __________ Initials 6. The issuance or possession of this identification card does not grant or authorize the bearer access to any IRS CI property or facilities. __________ Initials 7. Bearer agrees not to relinquish possession of, distribute, or lend this identification card to any third parties. __________ Initials
REV.02082006
8. Bearer agrees not to alter, duplicate, copy or reproduce this identification card in any manner. __________ Initials 9. Bearer agrees not to use this identification card to commit an act or participate in an activity that is unlawful, illegal, or in any manner which could be misinterpreted or misunderstood to the detriment of the IRS CI. __________ Initials 10. Bearer agrees not to use this identification card to seek benefits or entitlements only available to active law enforcement officers. __________ Initials 11. Bearer agrees to immediately report the loss or theft of this identification card to the IRS CI. __________ Initials 12. Bearer acknowledges that this identification card is and remains the property of the United States government and agrees to affirmatively relinquish the identification card for any violation of the above-listed conditions, or at the IRS CI’s request, for reasons deemed appropriate by the IRS CI. __________ Initials
_________________________________ Printed Name
_________________________________ Signature
______________________ Date
REV.02082006