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Commonwealth of Virginia Virginia Department of Criminal Justice Services Field Training/On the Job Training Completion Form Form FTO/OJT Upon completion of the required field training/on-the-job training submit this form at etrain dcjs. virginia*gov or FAX to 804 786-0410. Forms B-13 J-1 D-1 CS-1 CP-1 A-2 and A-3 must remain on file at the agency for inspection* The following officer has completed the compulsory minimum trainings standard for Field Training/On-the-Job Training Name of Officer Agency Social Security Law Enforcement Officer 100 hours Date of Completion Auxiliary Police Officer Level One 100 hours Jail Officer/Deputy Court Security Deputy Civil Process Deputy Communications Officer I certify that the above referenced officer has demonstrated competency in all of the field training performance outcomes in compliance with 9. 1-102 of the Code of Virginia 1950 as amended 6VAC20-20-21 6VAC20-20-40 6VAC20-50-20 6VAC20-50-40 6VAC20-60-20 and 6VAC20-60-40 Virginia Administrative Code and the regulations of the Criminal Justice Services Board. competency in the applicable criteria of the field training performance outcomes in compliance with 9. 1-102 of the Code of Virginia 1950 as amended 6VAC20-20-21 Virginia Administrative Code and the regulations of the Criminal Justice Services Board. Date Signature of Agency Administrator Signature of Compensated Chief of Police or Sheriff Printed Name of Agency Administrator Contact phone number Email Address www. virginia*gov or FAX to 804 786-0410. Forms B-13 J-1 D-1 CS-1 CP-1 A-2 and A-3 must remain on file at the agency for inspection* The following officer has completed the compulsory minimum trainings standard for Field Training/On-the-Job Training Name of Officer Agency Social Security Law Enforcement Officer 100 hours Date of Completion Auxiliary Police Officer Level One 100 hours Jail Officer/Deputy Court Security Deputy Civil Process Deputy Communications Officer I certify that the above referenced officer has demonstrated competency in all of the field training performance outcomes in compliance with 9. 1-102 of the Code of Virginia 1950 as amended 6VAC20-20-21 6VAC20-20-40 6VAC20-50-20 6VAC20-50-40 6VAC20-60-20 and 6VAC20-60-40 Virginia Administrative Code and the regulations of the Criminal Justice Services Board. 1-102 of the Code of Virginia 1950 as amended 6VAC20-20-21 6VAC20-20-40 6VAC20-50-20 6VAC20-50-40 6VAC20-60-20 and 6VAC20-60-40 Virginia Administrative Code and the regulations of the Criminal Justice Services Board. competency in the applicable criteria of the field training performance outcomes in compliance with 9. competency in the applicable criteria of the field training performance outcomes in compliance with 9. 1-102 of the Code of Virginia 1950 as amended 6VAC20-20-21 Virginia Administrative Code and the regulations of the Criminal Justice Services Board. 1-102 of the Code of Virginia 1950 as amended 6VAC20-20-21 Virginia Administrative Code and the regulations of the Criminal Justice Services Board. Date Signature of Agency Administrator Signature of Compensated Chief of Police or Sheriff Printed Name of Agency Administrator Contact phone number Email Address www.

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