North Carolina Administrative Code › Title 12 - JUSTICE › Chapter 10 - SHERIFFS' EDUCATION AND TRAINING STANDARDS COMMISSION › Subchapter B - N.C. SHERIFFS' EDUCATION AND TRAINING STANDARDS COMMISSION › Section .2200 - FORMS › Section 10B .2201 - CERTIFICATION FORMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The following
				  are Commission approved forms to be used by agencies in making reports,
				  applications, or requests for certification of justice officers:
(1) Form F-1, Medical History Statement, is
				  completed by an applicant and consists of the applicant's medical information
				  including medication, allergies, and immunizations, present and past physical
				  conditions, injuries, diseases, or operations.
(2) Form F-2, Medical Examination Report, is
				  a form provided to the examining physician to record the results of the
				  applicant's medical examination. The form consists of information about the
				  applicant's vision, hearing, cardiovascular and circulatory health, urinalysis,
				  TB skin test, other medical conditions relevant to the applicant's physical
				  fitness to perform the duties of a justice officer, biographical information
				  about the applicant, and the medical professional's recommendation and concerns
				  as to an applicant's physical fitness to perform the duties of a justice
				  officer.
(3) Form F-3, the Personal
				  History Statement, is completed by the applicant and consists of information
				  regarding the applicant's work, residential, military, and criminal history;
				  financial condition; and references.
(4) Form F-8, the Mandated Background
				  Investigation Form, is completed by an agency's background investigator and
				  consists of the applicant's biographical data, family data, scholastic data,
				  employment data, criminal history, interviews and references, and a summary of
				  the background investigator's findings.
(5) Form F-4 and F-4T, Report of Appointment,
				  is completed by the reporting agency for the appointment of justice officers
				  and shall contain a checklist indicating the applicant's progress toward
				  completing the requirements for certification; the applicant's appointment
				  date, position title, and status; the applicant's contact information; and
				  prior certification history. The F-4 form is utilized for appointments as a
				  deputy sheriff or detention officer. The form F-4T is utilized for appointments
				  as a telecommunicator.
(6) Form F-6
				  and F-6R, Professional Certificate/Service Award, consists of information
				  regarding the education, training, and experience qualifying the applicant for
				  various levels of professional recognition under the Sheriffs' Education and
				  Training Standards Commission's Professional Certificate Program. The F-6 form
				  is utilized for full-time justice officers and the F-6R form is utilized for
				  reserve justice officers.
(7) Form
				  F-7 and F-7T, Request for Certification, is completed by institutions and
				  agencies requesting certification to deliver Detention Officer and
				  Telecommunicator Courses. The form consists of information regarding the
				  institution name, institution or agency head, school director, and facilities.
				  Form F-7 is used when requesting certification to deliver Detention Officer
				  courses and Form F-7T is used when requesting certification to deliver
				  Telecommunicator courses.
(8) Form
				  F-7A and F-7A-T, Pre-Delivery Report of Training Course Presentation, is
				  completed by the institution or agency delivering Detention Officer and
				  Telecommunicator Training Courses and consists of information on the course
				  delivery location, school director, class schedule, anticipated date of the
				  State Comprehensive Exam, and any planned instructional hours exceeding the
				  minimum requirements. Form F-7A is utilized for Detention Officer courses and
				  Form F-7A-T is utilized for Telecommunicator courses.
(9) Form F-7B and F-7B-T, Post-Delivery
				  Report of Training Course Presentation, is completed by the institution or
				  agency delivering Detention Officer and Telecommunicator Training Courses and
				  consists of information on any substitutions of instructors as originally
				  reported on the Pre-Delivery Report, any trainees who were not recommended for
				  the state exam due to withdrawal or deficiencies, and the students who
				  participated in and completed the course. Form F-7B is utilized for Detention
				  Officer courses and Form F-7B-T is utilized for Telecommunicator
				  courses.
(10) Form F-9 and F-9T,
				  Change in Status, is completed by the employing agency and consists of any
				  change in status for justice officers including full-time or part-time status,
				  active or inactive status, changes to identifying information, and changes to
				  firearms status. Form F-9 is utilized for any change in status for justice
				  officers appointed as a deputy sheriff or detention officer. Form F-9T is
				  utilized for any change in status for a justice officer appointed as a
				  telecommunicator.
(11) Form F-9A,
				  Firearms Qualification Record, is completed by the employing agency to record
				  the annual In-Service Firearms Training and Qualifications for justice officers
				  who are authorized by the Sheriff to carry a shotgun, rifle, automatic weapon,
				  or handgun. The form consists of training and qualification scores completed by
				  the officer.
(12) Form F-16,
				  Criminal Justice Instructor Evaluation, is completed by the Certified School
				  Director and In-Service Coordinator of the school and consists of a rating of
				  instructional ability, student participation, and presentation of the lesson
				  plan by the Instructor.
(13) Form
				  F-20, School Resource Officer Certification, is completed by an employing
				  agency requesting certification of a justice officer as a School Resource
				  Officer. The form consists of the officer's name, date of birth, name of agency
				  and address, date awarded general certification, completion date of School
				  Resource Officer training, and date assigned as a School Resource
				  Officer.
(14) Form I-2 and I-2-T,
				  Request for Instructor Certification, is completed by an applicant for
				  certification as an Instructor to deliver Detention Officer and
				  Telecommunicator courses. The form consists of information about the
				  applicant's experience and qualifications. Form I-2 is utilized by an applicant
				  for certification as an Instructor to deliver Detention Officer courses and
				  Form I-2-T is utilized by an applicant for certification as an Instructor to
				  deliver Telecommunicator courses.