Forms

Career Development Program Forms

• CDP Information Guide​
  

• Form 1 - Commitment
  

• Form 2 - Intermediate LEN Officer
  

• Form 3 - Advanced LEN Officer
  

• Form 4 - LEN Officer Investigator
  

• Form 5 - LEN Traffic Officer
  

• Form 7 - LEN Supervisor
  

• Form 9 - LEN Executive

• Form 11 - Intermediate Public Safety Dispatcher
  

• Form 12 - Advanced Public Safety Dispatcher
  

• Form 13 - Public Safety Dispatcher Supervisor
  

• Form 14 - Public Safety Dispatcher Manager/Director​
  

• Form 15 - LEN Chief Executive
  

• Form 16 - LEN Training Officer
  

• Form 17 - LEN Officer Advanced Investigator
  

• Form 18 - Crime Scene Processing Officer
  

• Form 19 - Communications Training Officer
  

• Form 20 - Crime Scene Technician
  

• Form 21 - School Resource Officer I
  

• Form 22 - School Resource Officer II
  

• Form 23 - School Resource Officer III
  

• Form 24 - Law Enforcement Tactical Officer
  

• Form 25 - Law Enforcement Canine Officer
  

• Form 28 - Sheriff Supervisor
  

• Form 29 - Sheriff Manager
  

• Form 30 - Sheriff Executive
  

• Form 31 - Sheriff Chief Executive
  

• Form 32 - Investigative Public Safety Dispatcher​​​​​​​​

---

​Checklists

Curriculum Forms

The following forms are utilized for obtaining approval for curriculum from the Kentucky Law Enforcement Council:

• Form 31 – Curriculum Development
  

• Form 31 - Instructions She​et
  

---

​Hiring/Status Update Forms

The following forms are required for the hiring process or status updates:

• Peace Officer Status and Standing Request (PDF)
  

• Peace Officer Status and Standing Request (DOC)
  

---

​Instructor Certification Forms

The following forms are used to gain original instructor certification, continued instructor certification, additional instructor certification or waived certification from the Kentucky Law Enforcement Council:​

---

​Open Records Request

• Standardized Open Records Request
  

---

Phase 1 Fo​rms​

The following forms are required for the testing and registration process for Phase 1 (physical agility and suitability) testing:

• Form T-1 – Medical Release​
  

• Form T-1A – Physician’s Medical Release
  

• Form H-1 – Background Investigation​
  

• Applicant Education Verification
  

• Physical Agility Test P​rep Booklet (8.3MB PDF)
  

• The link to the on-line Personal History Questionnaire (PHQ) is https://www.kycswcenter.com/
  
  

The following forms are required for the testing and registration process for Phase 2 (polygraph and drug screen) testing:

• Form I-2 – Pre-Employment Polygraph Questionnaire​
• Form G-1 – Medical Examination Report

• Form G-2- Medical History Statement
  

• Form G-3 – Medical Screening Guidelines Implementation Manual
  

• Form L-1 – Code of Ethics

• Form L-2 – Canon of Ethics
  

​Reciprocity Forms

The following forms are utilized for reciprocity:

• Kentucky Reciprocity Application
  

• KRED Reciprocity Form