Forms
ATMS FORM
D.A.R.E. PROGRAM FORMS
ALCOHOL TESTING PROGRAM FORMS
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Blood Analysts:
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Course Instructors:
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Mandated DUI Forms:
MEDICAL EXAMINERS COMMISSION FORMS
CRIMINAL JUSTICE STANDARDS & TRAINING-APPROVED FORMS
Select a link below to jump to the relevant table of CJSTC forms:
In the tables below, click either "PDF" (to open a PDF file) or "DOC" for a Microsoft Word document that can be completed electronically.
Employment, Registration, and Separation Training Forms
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| CJSTC-16 |
Specialized Training Documentation |
Effective 5/2014 |
PDF |
DOC |
| CJSTC-16A |
Specialized Training Documentation Supplemental |
Effective 11/2004 |
PDF |
DOC |
| CJSTC-18 |
E-Learning Course Minimum Standards |
Effective 3/2013 |
PDF |
DOC |
| CJSTC-24 |
Request for Program Approval
- Local Dollar Expenditure |
Effective 7/1988 |
PDF |
DOC |
| CJSTC-29 |
Criminal Justice Training School Certification and Re-certification Application |
Effective 7/2015 |
PDF |
DOC |
| CJSTC-58 |
Authority for Release of Information
(Background Investigation Waiver) |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-59 |
Officer Certification Application |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-60 |
Registration for Employment Affidavit of Compliance |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-61 |
Affidavit of Separation |
Effective 8/2023 |
PDF |
DOC |
| CJSTC-62 |
Fingerprint Notification |
Revised 6/2022 |
PDF |
DOC |
| CJSTC-63 |
Higher Education For Salary Incentive Report |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-65 |
Temporary Employment Authorization Statement |
Effective 9/2016 |
PDF |
DOC |
| CJSTC-67 |
Training Report |
Effective 9/2016 |
PDF |
DOC |
| CJSTC-67A |
Academy Physical Fitness Standards Report |
Effective 7/2017 |
PDF |
DOC |
| CJSTC-68 |
Affidavit of Applicant |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-74 |
Mandatory Retraining Report |
Effective 8/2023 |
PDF |
DOC |
| CJSTC-75 |
Physician's Assessment |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-75A |
Patient Information |
Effective 6/2008 |
PDF |
DOC |
| CJSTC-76 |
Exemption from Training |
Effective 7/2019 |
PDF |
DOC |
| CJSTC-76A |
Exemption from Training - Proficiency Demonstration |
Effective 7/2019 |
PDF |
DOC |
| CJSTC-77 |
Employee Background Investigative Report |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-78 |
Internal Investigation Report |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-79 |
Name Change Application |
Effective 6/2008 |
PDF |
DOC |
| CJSTC-86A |
Law Enforcement Officer Firearms Qualification Standard |
Effective 6/2024 |
PDF |
DOC |
| CJSTC-86B |
Injury in the Line of Duty |
Revised 5/2021 |
PDF |
DOC |
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| CJSTC-10 |
Speed Measurement Device Instructor Field Evaluation |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-11 |
Speed Measurement Operator Performance Report |
Effective 5/2014 |
PDF |
DOC |
Instructor Certification and Canine Team Forms
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| CJSTC-20 |
Canine Team Instructor Performance Evaluation |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-70 |
Canine Team Certification Application |
Revised 6/2022 |
PDF |
DOC |
| CJSTC-70A |
Canine Course Equivalency Checklist |
Effective 9/2016 |
PDF |
DOC |
| CJSTC-71 |
Instructor Certification Application |
Revised 6/2024 |
PDF |
DOC |
| CJSTC-81 |
Instructor Competency Checklist |
Revised 6/2024 |
PDF |
DOC |
| CJSTC-82 |
Instructor Exemption |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-83 |
Canine Team Performance Evaluation |
Effective 9/2016 |
PDF |
DOC |
| CJSTC-84 |
Instructor Compliance Application |
Effective 6/2024 |
PDF |
DOC |
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| CJSTC-300 |
Officer Training Monies Semi-Annual Expenditure Report |
Effective 11/2002 |
PDF |
DOC |
| CJSTC-301 |
Officer Training Monies Year End Fiscal Report |
Effective 11/2002 |
PDF |
DOC |
| CJSTC-302 |
Officer Training Monies Programmatic Change and Budget Amendment |
Effective 11/2002 |
PDF |
DOC |
| CJSTC-310 |
Officer Training Monies Operating Budget |
Effective 11/2002 |
PDF |
DOC |
| CJSTC-311 |
Operating Capital Outlay Property Disposal Request |
Effective 9/2016 |
PDF |
DOC |
Officer Certification Examination
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| CJSTC-502 |
Application for Individuals Requesting Special Test Accommodations |
Effective 6/2008 |
PDF |
DOC |
Field Specialist Audit Forms
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| CJSTC-200 |
Training School Contact Report |
Effective 6/2008 |
PDF |
DOC |
| CJSTC-201 |
Firing Range Facility and Equipment Requirements |
Effective 6/2024 |
PDF |
DOC |
| CJSTC-202 |
Driving Range Facility and Equipment Requirements |
Effective 6/2024 |
PDF |
DOC |
| CJSTC-203 |
Defensive Tactics Facility and Equipment Requirements |
Effective 6/2024 |
PDF |
DOC |
| CJSTC-204 |
Staffing Requirements |
Effective 9/2009 |
PDF |
DOC |
| CJSTC-205 |
Training School Classroom Facility and Equipment Requirements |
Effective 9/2009 |
PDF |
DOC |
| CJSTC-206 |
Non-Compliance Follow-up Report |
Effective 11/2004 |
PDF |
DOC |
| CJSTC-207 |
Agency New Hire Report |
Revised 6/2022 |
PDF |
DOC |
| CJSTC-208 |
First Aid Instructional Requirements |
Effective 6/2024 |
PDF |
DOC |
| CJSTC-259 |
Officer Certification Deficiency Notification |
Revised 5/2021 |
PDF |
DOC |
| CJSTC-270 |
Canine Team Certification Deficiency Notification Application |
Effective 7/2015 |
PDF |
DOC |
| CJSTC-271 |
Instructor Certification Deficiency Notification |
Effective 6/2024 |
PDF |
DOC |
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| CJSTC-4 |
Firearms Performance Evaluation V. 2022.07 |
Effective 6/2022 |
PDF |
DOC |
| CJSTC-4* |
Handguns Performance Evaluation |
Effective 8/2023 |
PDF |
DOC |
| CJSTC-4I |
Firearms Instructor Performance Evaluation |
Effective 8/2023 |
PDF |
DOC |
| CJSTC-5 |
First Aid Performance Evaluation for V. 2022.07 |
Effective 6/2022 |
PDF |
DOC |
| CJSTC-5* |
First Aid Performance Evaluation for V. 2023.08 - present |
Effective 8/2023 |
PDF |
DOC |
| CJSTC-6 |
Defensive Tactics Performance Evaluation |
Effective 8/2023 |
PDF |
DOC |
| CJSTC-7 |
Vehicle Operations Performance Evaluation |
Effective 8/2023 |
PDF |
DOC |
| CJSTC-13 |
DUI Traffic Stops Performance Evaluation |
Effective 5/2014 |
PDF |
DOC |
| CJSTC-14 |
Breath Testing Course Performance Report |
Effective 6/2024 |
PDF |
DOC |
| CJSTC-17 |
Breath Test Instructor Performance Report |
Effective 6/2024 |
PDF |
DOC |
| CJSTC-19 |
Criminal Justice Diver Performance Evaluation |
Effective 7/2015 |
PDF |
DOC |
| *Use this form for academies that start on or after July 1, 2023 |
Firearms Proficiency Verification Card
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| CJSTC-600* |
Firearms Proficiency Verification Card |
Effective 4/2020 |
| *To request form CJSTC-600, please call 850-410-8600 and ask for the Officer Records Section. |
Chapter 11C-4.009 Mandated DUI Arrest Forms
11C-4.009 Uniform Arrest Affidavits and Reports
Pursuant to section 943.05(2)(d), F.S., the Florida Department of Law Enforcement has promulgated rule 11C-4.009, F.A.C., which provides for a uniform probable cause affidavit and a uniform alcohol influence report to be used when making DUI arrests under section 316.193, F.S.
Please note that you may continue to use other affidavits and reports and to include supplemental documentation. Although the statute mandates use of these forms, failure to use the uniform probable cause affidavit or the uniform alcohol influence report does not prohibit prosecution for a violation of section 316.193, F.S.
If you have any questions concerning the above rules or forms, you may contact the FDLE Alcohol Testing Program at (850) 617-1290.
11C-4.009 Uniform Arrest Affidavits and Reports
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A Uniform Probable Cause Affidavit, FDLE Form PCA 1 - March 2004, is hereby incorporated by reference and adopted for use by all law enforcement agencies in the State of Florida when making DUI arrests pursuant to Section 316.193, F.S.
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A Uniform Alcohol Influence Report, FDLE Form AIR 1 - March 2004, is hereby incorporated by reference and adopted for use by all law enforcement agencies in the State of Florida when making DUI arrests pursuant to Section 316.193, F.S.
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This rule shall not preclude the use of other probable cause affidavits or alcohol influence reports, and law enforcement agencies are authorized to supplement the Uniform Probably Cause Affidavit or the Uniform Alcohol Influence Report with additional affidavits and reports.
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Failure to use the Uniform Probable Cause Affidavit or the Uniform Alcohol Influence Report shall not prohibit prosecution of a person arrested for a violation of Section 316.193, F.S., and shall have no effect on the legality or validity of such arrest.
- The above referenced forms may be obtained by contacting the Florida Department of Law Enforcement, Alcohol Testing Program, P.O. Box 1489, Tallahassee, Florida 32302.
Specific Authority 943.05(2)(d) FS. Law Implemented 316.193, 943.05(2) FS. History- New 7-27-04.