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Name

Company (optional)

Email

Phone

Address (optional)

City/Town (optional)

State/Province (optional)

ZIP/Postal Code (optional)

Form Request Type (optional)

This selection changes the form required information below. Ensure to select the correct form to be submitted.

Cheltenham Information

Area of Interest (optional)

Date Selection

Start Date (optional)

End Date (optional)

Second Start Date (optional)

Second End Date (optional)

Additional Training Dates (optional)

Driving Training Request

Type of Driver Request (optional)

Classroom Training

Desired Facility (optional)

Firearms

Start Time (1st Choice) (optional)

Start Time (2nd Choice) (optional)

Range Type (optional)

Type of Firearms Training (optional)

Course of Fire (optional)

Agency will provide the following weapons, ammunition, equipment, and supplies: (optional)

NON-STANDARD REQUEST: Agency requests FLETC provide the following NON-STANDARD weapons, ammunition, equipment and supplies AT ADDITIONAL CHARGE. (optional)

Cancel Scheduled Training

Class Name and Number (optional)

Course / Type of Training (optional)

Location or Facility of Training (optional)

Reason for Cancellation (optional)

Appointment Date (optional)

Sims City/Tactical Training

Types of SIMS/Tactical Training (optional)

Mat/Physical Techniques

Mat/Physical Training Desired Location (optional)

Instructors Conductors Training (optional)

Number of Students (optional)

Number of Agency-Provided Instructors (optional)

Training Duration (optional)

Appointment Type (optional)

Select Fiscal Year Quarter (optional)

Additional Information/Comments (optional)

List any Special Training Requirements, Equipement/Supply Requests and/or general comments/concerns.

Submit a Request

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