IUF 07.001 Photo ID and Certificate Request 3.13.2019 1 of 1
TEXAS COMMISSION ON LAW ENFORCEMENT
6330 E. Highway 290, STE. 200
Austin, Texas 78723-1035
Phone: (512) 936-7700
http://www.tcole.texas.gov
PHOTO ID and CERTIFICATE REQUEST
Commission Rule §211.1, 221.3
Ma i l Non-r e fun d a ble $35. 0 0 fee for e ach r equ e st . Mo n e y o r d er , a g e n c y o r ca s h i e r s c h e c k o nl y.
APPLICANT
INFORMATION
1. TCOLE PID
2. Last Name
3. First Name
4. M.I.
5. Suffix (Jr., Etc.)
6. Home or Permanent Mailing Address
8. State
9. Zip Code
10. Phone Number
11. Email
12. DL State and Number
13. TCOLE Agency Number
14. TCOLE Agency Name
Total amount enclosed: _______________
PLEASE CHECK REQUESTED ITEM(S)
5149
Academic Recognition Award Associates (221.23)
$35.00
5150
Academic Recognition Award Bachelors
$35.00
5150
Academic Recognition Award Masters
$35.00
5152
Academic Recognition Award Ph.D
$35.00
5374
Advanced Instructor Certificate (221.28)
$35.00
5330
Civil Process Proficiency (221.25)
$35.00
5159
Court Security Specialist Certificate (221.41)
$35.00
5166
Crime Prevention Specialist Proficiency Certificate (221.39)
$35.00
5164
Cybercrime Investigator Proficiency Certificate (221.37)
$35.00
5107
Firearms Instructor Proficiency Certificate (221.19)
$35.00
5135
Investigative Hypnosis Proficiency Certificate (221.7)
$35.00
5255
Instructor Proficiency Certificate (221.27)
$35.00
5175
Sexual Assault/Family Violence Investigator Certificate (221.29)
$35.00
5118
Standardized Field Sobriety Testing Instructor Proficiency Certificate (221.33)
$35.00
5104
Mental Health Office Proficiency Certificate (221.11)
$35.00
5401
School-Based Law Enforcement Proficiency Certificate (221.43)
$35.00
Basic Certificate (Indicate which one below)
5000Peace Officer $35.00 5001Jailer $35.00 5002Telecommunicator $35.00
Intermediate Certification (Indicate which one below)
5579Peace Officer $35.00 5582Jailer $3 5.00 5003Telecommunic ator $35.00
Advanced Certification (Indicate which one below)
5580Peace Officer $35.00 5583Jailer $3 5.00 5504Telecommunicator $35.00
Master Certification (Indicate which one below)
5581Peace Officer $35.00 5584Jailer $3 5.00 5005Telecommunic ator $35. 00
5218
Photo License Identification (Indicate which one below)
Peace Officer $35.00 Jailer $35.00 Telecommunicator $35.00