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New York State Division of Criminal Justice Services POLICE OFFICER REGISTRY ENTRY FORM - CERTIFICATION OF INITIAL EMPLOYMENT (Executive Law § 845) THIS FORM IS USED TO REGISTER A POLICE OFFICER WITH THE DIVISION OF C
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Document Date: 2012-12-28 08:29:48


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City

Zip City / /

Company

CRIMINAL JUSTICE SERVICES / /

Country

United States / /

Organization

Criminal Justice Services Alfred E. Smith State office Building office of Public Safety / New York State Division of Criminal Justice Services / OATH OF OFFICE / NYS Division of Criminal / Department of State Birth / Civil Service / Home Residence No Police / Criminal Justice Services POLICE / Municipal Police Training Council / /

Person

Law / /

/

Position

POLICE OFFICER / registrar / appropriate civil service commission officer / Enforcement Officer / registrar/recording officer / civil service officer / CEO / police officer of the above named law enforcement agency / General / OFFICER / e.g. police officer / deputy sheriff / Chief / Sheriff / Executive / Sheriff / Director / /

ProvinceOrState

New York / New / /

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