REINSTATEMENT REQUEST FORM — POLICE OFFICER
(Rev 05/2020)
SECTION 1: PERSONAL
- 1. YOUR FULL NAME:
- Last: Montoya
First: Kelsie
Middle: DNA
- Last: Montoya
SECTION 2: DEPARTMENT HISTORY
- 2. DEPARTMENT HISTORY:
- Position: Police Officer III
Date of resignation/termination: 16/AUG/2024
Resignation/termination record: Access
- Position: Police Officer III
SECTION 3: STATE AGENCY POSITIONS
- NOTE: If you have been employed by another state agency during your length of absence, you are required to fill the fields below.
- 3. LIST AGENCIES:
- Name of agency: DNA
Position: DNA
Date of resignation/termination: DNA
Name of agency: DNA
Position: DNA
Date of resignation/termination: DNA
- Name of agency: DNA
SECTION 4: OUT OF CHARACTER
- The information in this section is Out of Character information only.
Your admin record may only be edited to blackout/blur your IP Address.
- 4. OUT OF CHARACTER INFORMATION:
- Link to your LS-RP forum account: Access
List all current and past character names, on every account, and their levels:
plhdrKelsie Montoya - Level 19
plhdrSandra Wang - Level 3
plhdrLana Elroy - Level 13
plhdrBrookyln Houston
plhdrLea Alcala
plhdrCharlette Russell
plhdrMegan Fleur
plhdrRamona Cordell
Link an unedited screenshot of your admin record for all your characters on every account:Spoiler: show
Why did you previously leave the faction?: Overdue abscence.
If you are currently in another official faction, what is the name of the faction?: None.
If yes, provide the link to your double faction approval from the LSPD: Access.
Are you currently banned from any other legal factions? If so, provide their name(s): None.
- Link to your LS-RP forum account: Access