The following Commission-approved forms shall be used by individuals to apply for a new or replacement Professional Certificate:

1. (1) Form F-6 (LE), Application for Award of Law Enforcement Certificate, shall include the following:

   1. (a) Applicant's name, date of birth, and last four digits of Social Security Number;
   2. (b) Applicant's address, phone number, and email address;
   3. (c) Applicant's employing agency and agency address;
   4. (d) Type of award applying for;
   5. (e) Law enforcement experience (agencies and years of law enforcement experience);
   6. (f) Completed law enforcement training courses;
   7. (g) Level of college education;
   8. (h) Name and signature of applicant; and
   9. (i) Name and signature of agency head or In-Service Training Coordinator.

2. (2) Form F-6 (DAC), Application for Award of Criminal Justice Certificate, shall include the following:

   1. (a) Applicant's name, date of birth, and last four digits of Social Security Number;
   2. (b) Applicant's address, phone number, and email address;
   3. (c) Applicant's employing agency and agency address;
   4. (d) Type of award applying for;
   5. (e) Criminal justice experience (agencies and years of criminal justice experience);
   6. (f) Completed criminal justice training courses;
   7. (g) Level of college education;
   8. (h) Name and signature of applicant; and
   9. (i) Name and signature of agency head or In-Service Training Coordinator.

3. (3) Form F-6 (DJJ), Application for Award of Juvenile Justice Certificate, shall include the following:

   1. (a) Applicant's name, date of birth, and last four digits of Social Security Number;
   2. (b) Applicant's address, phone number, and email address;
   3. (c) Applicant's employing agency and agency address;
   4. (d) Type of award applying for;
   5. (e) Juvenile justice experience (agencies and years of juvenile justice experience);
   6. (f) Completed juvenile justice training courses;
   7. (g) Level of college education;
   8. (h) Name and signature of applicant; and
   9. (i) Name and signature of agency head or In-Service Training Coordinator.

4. (4) Form F-7, Request for Replacement of Professional Certificate, shall include the following:

   1. (a) Awardee's name, date of birth, and last four digits of Social Security Number;
   2. (b) Awardee's address, phone number, and email address;
   3. (c) Type of replacement certificate;
   4. (d) Printed name and signature of awardee; and
   5. (e) Name and signature of agency head or In-Service Training Coordinator, if still employed at an agency.

History Note: Authority G.S. 17C-6;
Eff. February 1, 2026.