Petition:
550 CMR 3.03 states: A person appointed to a position on a permanent full-time basis in which that person will exercise police powers may be exempted,
in whole or part, from the basic police recruit training provisions of MGL c. 41 §96B, upon petition to the Committee by the appointing authority.
Officer's name
Address
City State
Zip Code
Sponsoring Agency
Date
D.O.B. SSN
Petitioning for:
Temporary Waiver: A Temporary Waiver may be granted for a period not to exceed two hundred and seventy (270) days, or until the start date
of the next available academy session, whichever occurs sooner, as a result of documented public safety emergency or other exigent
circumstance.
Exemption
Required Documentation: For consideration, copies of all required documentation MUST be submitted with this Petition.
Temporary Waiver:
Current Certification in First Aid and CPR
Reason (Cite nature of public safety emergency or other exigent circumstance.)
Successful completion of the training requirement for persons appointed as reserve or intermittent police officers
Resume
Current Qualifications in Use of Firearms by an MPTC Certified Instructor
Certificate of completion for the same or equivalent training program.
Exemption:
This Petition must include copies of required documentation listed below in addition to those required for a Temporary Waiver.
Training curricula (Course listing with corresponding number of hours for each subject/topic.)
Previous police experience (Include all interruptions in service.)
Note: Pursuant to MGL Chapter 41, §96B, petition is made to the Municipal Police Training Committee to exempt the above-named officer from
the statutory training requirements for police officers.
Signature of Appointing Authority Title Date
Signature of Chief if not Appointing Authority Date
Signature of Appointing Authority Title Date
Signature of Appointing Authority Title Date
Petition and supporting documentation should be sent to:
Marylou Powers, Director of Training, MPTC H.Q., 6 Adams Street, Randolph, MA 02368 PH (781) 437-0302 Fax (781) 963-0235
Revised March 2012
Commonwealth of Massachusetts
Municipal Police Training Committee
“Training for Today, Planning for the Future”
Marylou Powers, Director of Training and Delivery
6 Adams Street, Randolph, MA 02368
PH: 781.437.0302 | Fax: 781.963.0235 | E-mail: Marylou.Powers@state.ma.us
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