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Form RSA LEOCFERS Law Enforcement Officer Certification

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Form Instructions

INSTRUCTIONS: ALABAMA LAW ENFORCEMENT OFFICER CERTIFICATION (Form RSA LEOCFERS)

To certify Alabama law enforcement service, use the form discussed in this article. This document may be obtained from the website maintained by the Retirement Systems of Alabama.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 1: Part I should be completed by your current employer. On the first blank line, they will enter your name.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 2: On the second blank line, your current employer should enter your Social Security number.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 3: On the third blank line, your current employer should enter your current address.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 4: On the fourth blank line, your current employer should enter your work phone number.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 5: On the fifth blank line, your current employer should enter your home phone number.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 6: The employer should check the box indicate you work in law enforcement as applicable, then enter your position title on the next blank line.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 7: Your current employer should indicate whether your employment status is full-time or part-time.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 8: Your current employer should enter the name of the employing agency on the next blank line.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 9: The certifying official should enter their signature on the next blank line.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 10: The certifying official should enter the date on the next blank line.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 11: The certifying official should enter their title on the next blank line.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 12: Part II should be completed by the employer to whom the eligible periods of service were rendered. They should document your position title, beginning and ending dates of service, and total service in the table provided, then enter their agency name, the date, their signature and their title where indicated.

Alabama Law Enforcement Officer Certification RSA LEOCFERS Step 13: Mail the form to the address given in the instructions contained on the second page.

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