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Get MS Law Enforcement Termination/Reassignment Report 2012

City & Zip Code SSN: Date of Termination/Reassignment Is the officer certified? Yes No Full-Time Part-Time If yes, please return the original certificate. Reason for termination. ___ Deceased. ___ Resigned to prevent termination. (Please explain below .) ___ Discharged. (Please explain below .) ___ Reassigned to non law enforcement duties. ___ Resigned prior to, during or at the conclusion of an investigation. (Please explain below .) ___ Resigned in good standing/eligible for re-hire. .

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