Complete the firearms certification/qualification event with a DPS-recognized LEOSA instructor or current NRA instructor. Submit the completed application along with a photocopy of your photographic law enforcement identification credentials, a $20 money order or cashier's check payable to the Arizona Department of Public Safety, and a verification letter from your former employing agency. Mail the completed application and documents to: ATTN: Program Coordinator, Arizona Department of Public Safety, PO Box 6488, Phoenix, AZ 85005-6488. It is important to ensure all required information and documents are included to avoid delays in the certification process. Double-check all information for accuracy and completeness before mailing the form.

There are no specific important dates for this form in 2024 and 2025 as the certification process is ongoing throughout the year. Applicants should ensure they meet the qualification criteria within the most recent 12-month period before applying.

The purpose of this form is to certify the firearms proficiency of retired law enforcement officers residing in Arizona, allowing them to carry a concealed firearm under the Law Enforcement Officers' Safety Act (LEOSA). This certification demonstrates that the individual has met the necessary training and qualification standards set forth by the state. Additionally, it ensures compliance with federal regulations and provides a valid document for law enforcement officers to carry a firearm. Applicants are required to provide detailed personal information, former law enforcement agency details, and undergo firearms certification with a DPS-recognized LEOSA instructor. The form also necessitates submission of specific documents such as a photocopy of photographic law enforcement identification credentials and a verification letter from the former employing agency. Upon completion, the form, along with the required documents and payment, must be submitted to the Arizona Department of Public Safety. The certification, once issued, is valid for twelve months from the date of the firearms qualification event, ensuring that retired officers maintain their proficiency and eligibility to carry a firearm.

• 1. Applicant Information: Includes legal name, residence address, mailing address, contact phone number, email address, SSN (optional), origin/race, gender, height, weight, eye color, hair color, date of birth, and place of birth.
• 2. Former Law Enforcement Agency Information: Requires the name of the agency, along with the city and state.
• 3. Training Information: Includes the AZ POST certified, DPS recognized LEOSA instructor number, instructor's name, type of firearm used, judgmental assessment results, NRA instructor number, training program number, and qualification date.
• 4. Instructor's Certification: Contains the instructor's signature certifying administration of the AZPOST Firearms Standard Course for Peace Officers.
• 5. Applicant's Attestation: Requires the applicant's signature attesting to the truth and accuracy of the information provided and confirming the meeting of requirements under 18 USC 926C.
• 6. Submission Instructions: Details the required documents and payment, along with the mailing address for submission.

Failure to submit this form means the applicant will not receive the LEOSA certification and, therefore, will be unable to legally carry a concealed firearm under this act. This could lead to legal consequences if found carrying a firearm without proper certification.

• Legal Non-Compliance: Not having the certification may result in legal penalties if the individual is found carrying a concealed firearm.
• Ineligibility for Firearm Carry: The applicant will not be authorized to carry a concealed firearm, impacting their ability to exercise this right.

• 1. Retirement from Law Enforcement: Apply for certification after retirement to legally carry a concealed firearm.
• 2. Annual Firearms Proficiency Certification: Annually renew your certification to ensure eligibility for carrying a concealed firearm.
• 3. Compliance with Federal Law: Meet the requirements under 18 USC 926C for carrying a concealed firearm.
• 4. Firearms Training and Qualification: Demonstrate your completion of the AZPOST Firearms Standard Course for peace officers.
• 5. Verification of Law Enforcement Status: Provide proof of your retired law enforcement status and eligibility.