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Updated 02/04/00
Please complete this form. When finished, press the "SUBMIT" button at the end of the page. You will then receive the password to use with your FAAP software.

IMPORTANT: The first time that you use your FAAP program, you MUST key the Jurisdiction ORI Number and Jurisdiction Name in your computer EXACTLY the way that you keyed it in here (including caps, and spaces. PLEASE NO special characters (apostrophe, etc.)--it will make the form fail!

Note: Items in red and with an Asterisk (*) are mandatory.



Police jurisdiction information
:
Jurisdiction ORI Number*
(Originating Agency)
a.k.a. NCISS Number
and NCIC Number
   
Jurisdiction Name*    
Jurisdiction Address*    
Jurisdiction City*    
Jurisdiction State*    
Jurisdiction Zip*    
Jurisdiction Phone*    
Jurisdiction Fax    
Jurisdiction Email    
Jurisdiction Chief/Sheriff Name    
Is anyone in your jurisdiction
a member of the International
Association of Chiefs of Police (IACP)?
YES NO Unknown    
Is anyone in your jurisdiction
a member of National Sheriff
Association (NSA)?
YES NOUnknown    
Contact Person Information:
Contact Person's First Name*    
Contact Person's Last Name*    
Contact Person's Title/Position    
Contact Person's Phone*    
Contact Person's Fax    
Contact Person's Email    
Software Information:
Please refer to the information included with the software
Version Number*    
Date*    
Copy Number (Copies received--
usually 1)*
   
FAAP Software Alarm Company Donor Information:
Alarm Company Donor*
If you received the software directly from CSAA, enter "CSAA"
   
Donor City*
If not known, enter "NA"
   
Donor State*
If not known, enter "NA"
   
Donor Contact First Name    
Donor Contact Last Name    
Donor Contact Phone    
Donor Contact E-mail    


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