Forms
 

 

D.A.R.E. Forms

 

Alcohol Testing Program Forms

 

Blood Analysts:
  • ATP Form 4 - Application for Permit to Conduct Blood Alcohol Analysis, December 2014

  • ATP Form 11 - Certification of Blood Withdrawal, August 2001

  • ATP Form 15 - Blood Alcohol Analysis Affidavit

 
Course Instructors:
  • ATP Form 8 - Breath Test Permit Application, October 2007

  • ATP Form 36 - Department Inspection Procedures, Intoxilyzer 8000, August 2005

  • ATP Form 37 - Operational Procedures, Intoxilyzer 8000, August 2005

  • ATP Form 38 - Breath Alcohol Test Affidavit, Intoxilyzer 8000, March 2004

  • ATP Form 39 - Agency Inspection Procedures, Intoxilyzer 8000, August 2005

  • ATP Form 40 - Agency Inspection Report, Intoxilyzer 8000, March 2004

  • ATP Form 41 - Department Inspection Report, Intoxilyzer 8000, August 2005

 
Mandated DUI Forms:
  • Form PCA1 - Uniform Probable Cause Affidavit

  • Form AIR1 - Uniform Alcohol Influence Report

 

Medical Examiner's Commission Forms

 

Criminal Justice Standards & Training Commission Approved Forms

In the table below, click "PDF" to open a PDF file, or "DOC" for a Microsoft Word document that can be completed electronically.

Employment, Registration, and Separation Training Forms
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-21 Firearms Handling Performance Evaluation  Effective 7/2015 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) 
Effective 3/2013 PDF DOC
CJSTC-59 Officer Certification Application Effective 4/2020 PDF DOC
CJSTC-60  Registration for Employment Affidavit of Compliance  Effective 3/2013 PDF DOC
CJSTC-61 Affidavit of Separation  Effective 7/2017 PDF DOC
CJSTC-62 Fingerprint Notification  Effective 6/2008 PDF DOC
CJSTC-63 Higher Education For Salary Incentive Report Effective 6/2008 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 Effective 4/2020 PDF DOC
CJSTC-74  Mandatory Retraining Report Effective 4/2009 PDF DOC
CJSTC-75 Physician's Assessment Effective 7/2017 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 Employment Background Investigative Report  Effective 3/2013 PDF DOC
CJSTC-78 Internal Investigation Report  Effective 8/2018 PDF DOC
CJSTC-79 Name Change Application  6/2008 PDF DOC
CJSTC-86A Law Enforcement Officer Firearms Qualification Standard  Effective 4/2020 PDF DOC
CJSTC-86B Injury in the Line of Duty  Effective 9/2016 PDF DOC
  
Radar Laser Forms
CJSTC-10 Speed Measurement Device Instructor Field Evaluation  Effective 5/2014 PDF DOC
CJSTC-11 Speed Measurement Operator Performance Report  Effective 5/2014 PDF DOC
 
Instructor Certification and Canine Team Forms
CJSTC-20 Canine Team Instructor Performance Evaluation  Effective 7/2015 PDF DOC
CJSTC-70 Canine Team Certification Application  Effective 9/2016 PDF DOC
CJSTC-70A  Canine Course Equivalency Checklist  Effective 9/2016 PDF DOC
CJSTC-71 Instructor Certification Application  Effective 5/2014 PDF DOC
CJSTC-81 Instructor Competency Checklist  Effective 7/2019 PDF DOC
CJSTC-82 Instructor Exemption  Effective 8/2018 PDF DOC
CJSTC-83 Canine Team Performance Evaluation  Effective 9/2016 PDF DOC
CJSTC-84 Instructor Compliance Application  Effective 9/2016 PDF DOC
   
Trust Fund Forms
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 Forms
CJSTC-502   Application for Individuals Requesting Special Test Accommodations Effective 6/2008 PDF DOC
   
Field Specialist Audit Forms
CJSTC-200 Training School Contact Report  Effective 6/2008 PDF DOC
CJSTC-201 Firing Range Facility and Equipment Requirements  Effective 8/2018 PDF DOC
CJSTC-202 Driving Range Facility and Equipment Requirements  Effective 8/2018 PDF DOC
CJSTC-203  Defensive Tactics Facility and Equipment Requirements  Effective 8/2018 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  Effective 6/2008 PDF DOC
CJSTC-208 First Aid Instructional Requirements Effective 8/2018 PDF DOC
CJSTC-259 Officer Certification Deficiency Notification  Effective 4/2020 PDF DOC
CJSTC-270  Canine Team Certification Deficiency Notification Application  Effective 7/2015 PDF DOC
CJSTC-271  Instructor Certification Deficiency Notification  Effective 9/2016 PDF DOC
   
CMS Proficiency Forms
CJSTC-4 Firearms Performance Evaluation Effective 9/2016 PDF DOC
CJSTC-5 First Aid Performance Evaluation Effective 9/2016 PDF DOC
CJSTC-6  CMS Defensive Tactics Performance Evaluation Effective 9/2016 PDF DOC
CJSTC-6  Defensive Tactics Performance Evaluation  Effective 4/2020 PDF DOC
CJSTC-7  Vehicle Operations Performance Evaluation  Effective 9/2016 PDF DOC
CJSTC-13    DUI Traffic Stops Performance Evaluation Effective 5/2014 PDF DOC
CJSTC-14    Breath Testing Course Performance Report Effective 3/2013 PDF DOC
CJSTC-17  Breath Test Instructor Performance Report  Effective 3/2013 PDF DOC
CJSTC-19  Criminal Justice Diver Performance Evaluation  Effective 7/2015 PDF DOC

 

Firearms Proficiency Verification Card
CJSTC-600   Firearms Proficiency Verification Card Effective 4/2020
To request form CJSTC-600, please call 850-410-8600,
and ask for the 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.