Free 46241.FH11 - Indiana

ANNUAL REPORT OF DEPARTMENTAL DATA
State Form 46241 (R2 / 9-07) LAW ENFORCEMENT TRAINING BOARD

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LAW ENFORCEMENT TRAINING BOARD PO Box 313 Plainfield, IN 46168-0313 Telephone: (317) 839-5191 Fax: (317) 839-9741

INSTRUCTIONS:

1. Please type or print clearly. 2. The information in Section 1 is used to maintain a statewide database for tracking annual in-service training. The Indiana Data and Communications System (IDACS) or Originating Agency Identifier (ORI) number is used as each departments identification number. Please resubmit whenever any information in Section 1 changes. 3. In the Type of Department field, Town (Metro) refers to those towns that have a board of metropolitan police commissioners. 4. If the Chief Executive Officer (CEO) also serves as the Training Officer (TO), enter Same in the Name of TO field. 5. The information in Section 2 is used to verify the number of Annual In-service Training Reports received each year and to compile statewide Equal Employment Opportunity Commission (EEOC) data. This information is only needed once a year and does not need to be updated as does Section 1. 6. DO NOT FAX THIS FORM. Send this completed application to the Executive Director at the above address. SECTION 1

Name of department Type of department

IDACS / ORI number

State County

City Town

Town (Metro) Railroad

Airport School

Public college / university Private college / university

Other ____________________________ _________________________________
County

Address (number and street, city, state, and ZIP code) Telephone number Fax number E-mail address Middle name of CEO Middle name of TO Title Rank

(

)

(
First name of CEO First name of TO

)

Last name of CEO Last name of TO

Date of birth (month, day, year) Date of birth (month, day, year)

SECTION 2 SWORN DEPARTMENT STRENGTH - YEAR ______
Position Captains and above (including Chief or Sheriff) Lieutenants Sergeants (all grades) Corporals Non-ranked officers Total number of sworn officers Male Full Time Part Time Reserve Status Jail officers Communication officers Total number of civilian officers

CIVILIAN DEPARTMENT STRENGTH - YEAR ______
Position Full Time Part Time

EEOC CLASSIFICATION FOR SWORN FULL/PART TIME OFFICERS ONLY
(Do not include reserve officers or civilian personnel in these totals.) Female American Asian Indian American Black Hispanic White Multiracial / Other

COMMENTS BY REPORTING AGENCY

Report prepared by (please type or print name)

Date (month, day, year)

FOR LETB USE ONLY - DO NOT WRITE IN THIS SECTION