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Pid Assignment c1

This document is a PID Assignment form from the Texas Commission on Law Enforcement (TCOLE) for individuals seeking to obtain a personal identification number. It requires personal information such as name, date of birth, gender, and contact details, as well as the purpose for which the PID is being requested. The form must be signed by both the applicant and an agency administrator or training coordinator if applicable.

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0% found this document useful (0 votes)
152 views1 page

Pid Assignment c1

This document is a PID Assignment form from the Texas Commission on Law Enforcement (TCOLE) for individuals seeking to obtain a personal identification number. It requires personal information such as name, date of birth, gender, and contact details, as well as the purpose for which the PID is being requested. The form must be signed by both the applicant and an agency administrator or training coordinator if applicable.

Uploaded by

aryaarnaw
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

TEXAS COMMISSION ON LAW ENFORCEMENT

6330 E Highway 290, STE 200, Austin, Texas 78723 - 1035


Phone: (512) 936-7700
[Link]

PID ASSIGNMENT (C-1)


Completion of all fields required
INDIVIDUAL INFORMATION
1. Social Security Number 2. First Name 3. M.I. 4. Last Name 5. Suffix (Jr., etc.)

6. Race / Ethnicity 7. Date of Birth 8. Gender 9. Driver’s License


State:
Americ an Indian or Alas kan Native Asian Male
/ /
Black His panic M ulticultural White Female Num.:

10. Home Mailing Address 11. City 12. State 13. Zip Code

14. Height 15. Weight 16. Hair Color 17. Eye Color

18. U.S. Citizen 19. Phone Number (include area code) 20. Email
Yes No
21. Select One Completed:
High School GED

This form is to be submitted only for the express purpose of having a personal identification number (PID) assigned by
TCOLE to the above-named individual therein creating a TCOLE record and allowing training to be reported for that
individual.

Agency administrator or training coordinator check appropriate box for their student or employee.
Applying for entry into a basic licensing course.
Applicant has read and received a copy of §217.1 Minimum Standards for Initial Licensure.

Signature of Applicant Date


Future appointment as a Telecommunicator, Temporary or Licensed
Future appointment as a County or Contract Jailer, Temporary or Licensed
Future Appointment as a Probation Officer, Juvenile or Adult

Ability to utilize a TCOLE system as an authorized user for this agency

TCOLE agency / training provider number _ _ and Name _

Agency Administrator or Training Coordinator (Type or Print) Signature Date


Individuals not associated with a training provider or agency check below.
Applying for instructors certificate
Applying for Retired Federal Firearms ID
Applying for consideration of prior out-of-state, federal, military, special forces or TDCJ training.

Signature of Applicant Date


AGF 06.001 PID Assignment (C-1) 07.15.2024 Page 1 of 1

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