Form Ad 5 Nevada is a legal document that can be used to form a limited liability company in the state of Nevada. This document is provided by the Nevada Secretary of State, and it must be filed with that office in order to create an LLC. The form can be used by any individual or business entity who wishes to establish a limited liability company in Nevada. There are a number of benefits to forming an LLC in this state, and this document explains the requirements for doing so.
| Question | Answer |
|---|---|
| Form Name | Form Ad 5 Nevada |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | 687-7678Fax, nv post intermediate certificate, 2011, NEVADA |
STATE OF NEVADA
COMMISSION ON PEACE OFFICERS’ STANDARDS AND TRAINING
Records and Certification Section
5587 Wa Pai Shone Avenue Carson City, Nevada 89701
(775)
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 |
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
1 of 1 |
|
|
|
|
|
|
|
|
Form