1. (a) The Application for Certification Law Enforcement Officer (Form F-5A) shall be used to request the certification of criminal justice officers. The Application for Certification Law Enforcement Officer (Form F-5A) shall contain the following information:

   1. (1) Employing agency identification;
   2. (2) Applicant's name, address, date of birth, driver's license number, and social security number;
   3. (3) Position for which application is being submitted;
   4. (4) Date of hire;
   5. (5) Verification of the applicant's criminal history, pursuant to 12 NCAC 09B .0111, and
   6. (6) Signature of the employing agency's executive officer or authorized representative.

2. (b) The following documents shall be submitted to the Division along with the Application for Certification Law Enforcement Officer (Form F-5A):

   1. (1) Fingerprint Response Sheet, pursuant to 12 NCAC 09B .0103;
   2. (2) Firearms Qualification Record (Form F-9A), pursuant to 12 NCAC 09E .0104;
   3. (3) Signed and notarized Release Authorization Form, pursuant to 12 NCAC 09B .0102; and
   4. (4) Law Enforcement Application for Verification of Expunction AOC-CR-280, pursuant to 12 NCAC 09B .0102.

History Note: Authority G.S. 17C‑6
Eff. January 1, 1981;
Temporary Amendment Eff. January 1, 2001;
Amended Eff. August 1, 2002;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. May 25, 2019;
Amended Eff. May 1, 2025.