Form Ad 5 Nevada PDF Details

In the state of Nevada, the effort to uphold the professionalism and preparedness of its peace officers is a critical concern, addressed in part through the issuance of certifications by the Commission on Peace Officers' Standards and Training. Among the documents pivotal to this process is the AD-5 Nevada form, officially termed the Intermediate Certificate Application. This form serves as a comprehensive vehicle for peace officers seeking to elevate their certification status, encapsulating various essential elements, from basic identification and employment information to detailed records of educational and training prerequisites. Key sections of the form require applicants to list college credits in subjects relevant to law enforcement, alongside a meticulous breakdown of hours spent in specific training categories such as skills of officers, investigative skills, human development, legal subjects, and elective training pertinent to peace officer duties. Furthermore, the form mandates the inclusion of supporting documents for training and college credits, illustrating the thoroughness expected in the certification process. The provision for agency administrator or designee endorsement underscores the collaborative relationship between individual officers and their employing agencies in pursuit of advanced certification. With a structure guided by the Nevada Administrative Code (NAC 289.240), the AD-5 Nevada form is emblematic of the state’s commitment to fostering a high-caliber law enforcement community through stringent educational and training standards.

QuestionAnswer
Form NameForm Ad 5 Nevada
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names687-7678Fax, nv post intermediate certificate, 2011, NEVADA

Form Preview Example

STATE OF NEVADA

COMMISSION ON PEACE OFFICERS’ STANDARDS AND TRAINING

Records and Certification Section

5587 Wa Pai Shone Avenue Carson City, Nevada 89701

(775) 687-7678*Fax (775) 687-4911

INTERMEDIATE CERTIFICATE APPLICATION

Refer to NAC 289.240 for certificate requirements

Last Name

 

 

 

First Name

 

 

 

 

 

 

 

 

Middle

 

POST ID#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address (not agency address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

City

 

 

 

 

 

 

 

State

 

 

Zip

 

Agency Name

 

 

 

 

 

 

Agency ID#

 

 

 

 

 

Hire Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE CREDIT DOCUMENTATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Copies of official transcripts required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subject

 

 

Term/Yr

College

 

 

 

 

 

Credits

3 Credits English Composition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Credits Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please itemize and include support documents of the training to include dates, college terms/quarters and hours in each area below.

200 HOURS – SPECIFIC TRAINING

Only courses that were passed can be used. College credits are converted at a ratio of 15 hours for each college credit.

40 HOURS - SKILLS OF OFFICERS

Course Topics (Include College Credits)

 

Hours

 

Course Topics Cont. (Include College Credits)

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - INVESTIGATIVE SKILLS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - HUMAN DEVELOPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - LEGAL SUBJECTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS – ELECTIVE TRAINING RELATING TO PEACE OFFICERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Single Point of

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

Signature

 

Title

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agency Administrator

 

 

 

 

 

 

 

 

 

 

 

 

 

or Designee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

Signature

 

Title

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POST USE ONLY – DO NOT WRITE IN THIS SPACE

 

 

 

 

 

Date Reviewed

 

 

Reviewed By

 

 

 

 

 

Approved

Denied

Data Entry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Form AD-5 Intermediate Certificate Application R-06/2011