Form L 3 is a form used for estate and gift tax purposes. This form is used to report the value of property that has been transferred during the course of a year. The value of the property is reported on this form, as well as any other information that is relevant to the transfer. This form must be filed by April 15th of the year following the transfer. If you have any questions about Form L 3, or need help filing it, please contact our office. We would be happy to assist you.
| Question | Answer |
|---|---|
| Form Name | Form L 3 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | L 3 Form harris county l3 tests form |
TEXAS COMMISSION ON LAW ENFORCEMENT
OFFICER STANDARDS AND EDUCATION
6330 U.S. Highw ay 290 East, Suite 200
Austin, Texas 78723
Phone: (512)
http://www.tcleose.state.tx.us
DECLARATION OF PSYCHOLOGICAL AND EMOTIONAL HEALTH
Commission Rule §217.1 9(a)(12)
APPLIC ANT INFORM ATION
1. F irst Name
2. M. I.
3. Last Name
4. Suffix (Jr., etc.)
5. T CLEOSE PID or SSN
6. Home Mailing Address
7. City
8. State
9. Zip Code
Attention Requesting Agency: State Law and Commission Rule require that this psychological examination be performed by a licensed psychologist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician. The Chief Administrator of the requesting law enforcement agency must request prior approval in writing and must receive specific written approval before an examination under exceptional circumstances is acceptable.
APPOINTMENT AND DEPARTMENT INFORMATION
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Peace Officer |
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Public Security Officer |
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11. TCLEOSE Agenc y |
12. Appointing Agenc y |
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Agenc y Mailing Addres s |
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14. City |
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15. County |
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16. Zip Code |
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17. Phone Number |
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Attention Examining Professional: State Law and Commission Rule require that this psychological examination be performed by a licensed psychologist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician. The law enforcement agency must request prior approval in writing and must receive specific written approval before an examination under exceptional circumstances is acceptable.
STATEMENT OF EXAMINER: (Please check the appropriate box and provide the requested information) I am a [ ] Licensed Psychologist, [ ] Psychiatrist, and I certify that I have completed a psychological examination of the above named individual pursuant to professionally recognized standards and methods. I have concluded that, on this date, the individual IS in satisfactory psychological and emotional health to perform the duties, accept the responsibilities and meet the qualifications established by the appointing agency.
Examiner:________________________________________________________________________
Printed NameState License Number
Mailing Address:___________________________________________________________________
StreetCityState Zip
Phone Number:____________________________________________________________________
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Date of Examination(s) |
Signature |
Date |
THIS DECLARATION IS NOT PUBLIC INFORMATION AND IS VALID UNLESS WITHDRAWN OR INVALIDATED, AND IS VALID ONLY IF SIGNED BY A LICENSED PSYCHOLOGIST OR PHYSICIAN.
Declaration of Psychological Health 1/1/2006 |
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