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# DLA Official Forms

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Form Information
| Form Number:       | DLA0926C                                                                                                                                                                                                      |
|--------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Form Title:        | Police Credentials for Separated or Retired Officers                                                                                                                                                          |
| Form Version:      | Oct 2014                                                                                                                                                                                                      |
| Status:            | Active                                                                                                                                                                                                        |
| Functional Area:   | Installation Management                                                                                                                                                                                       |
| Opr:               | DM                                                                                                                                                                                                            |
| Safeguards:        | controlled form                                                                                                                                                                                               |
| Electronic:        | No                                                                                                                                                                                                            |
| Form Link:         |                                                                                                                                                                                                               |
| Type:              | Primary                                                                                                                                                                                                       |
| Prescribed:        | DLAI 5525.01                                                                                                                                                                                                  |
| Description:       | This form will be issued to separated or retired DLA Police Officers and is compliant with a new DoD Instruction, 5525.12, Implementation of the Amended Law Enforcement Officers Safety Act of 2004 (LEOSA). |
| Records Retention: | 157.25 Individual Access Files                                                                                                                                                                                |
| Form Audience:     |                                                                                                                                                                                                               |

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