Forms

LETHALITY ASSESSMENT FORM

• ​State of Florida Domestic Violence Lethality Assessment Form (PDF)
• State of Florida Domestic Violence Lethality Assessment Form (Word)

ATMS FORM

• Automated Training Management System (ATMS) User Account Application

D.A.R.E. PROGRAM FORMS

• D.A.R.E. Application
• D.A.R.E. Officer Schedule
• D.A.R.E. Report 1 Statistics (Active DARE Officer Roster)
• D.A.R.E. Report 2 Statistics (School and Student Numbers)

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 EXAMINERS COMMISSION FORMS

• MEC Form 01 - Traffic Crash Statistics Reporting Form (DHSMV)
• Associate Medical Examiner Appointment/Termination Form

CRIMINAL JUSTICE STANDARDS & TRAINING-APPROVED FORMS

Select a link below to jump to the relevant table of CJSTC forms:

• Employment, Registration, and Separation Training Forms
• Radar Laser Forms
• Instructor Certification and Canine Team Forms
• Trust Fund Forms
• Officer Certification Examination Forms
• Field Specialist Audit Forms
• CMS Proficiency Forms
• Firearms Proficiency Verification Card

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

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.