REINSTATEMENT REQUEST FORM — POLICE OFFICER
(Rev 05/2020)
SECTION 1: PERSONAL
- 1. YOUR FULL NAME:
- Last: Obregon
First: Diego
Middle:
- Last: Obregon
SECTION 2: DEPARTMENT HISTORY
- 2. DEPARTMENT HISTORY:
- Position: Detective II
Date of resignation/termination:
Resignation/termination record: Access
- Position: Detective II
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: Answer
Position: Answer
Date of resignation/termination: DD/MMM/YYYY
Name of agency: Answer
Position: Answer
Date of resignation/termination: DD/MMM/YYYY
- Name of agency: Answer
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:
plhdrRamon_Jaramillo - 9
plhdrJoshua_Garza - 10
plhdrGilberto_Ruvalcaba - 20
plhdrRicardo_Luna - 1
plhdrDiego_Obregon - 14
plhdrBrandon_Yadao - 2
plhdrJerome Pittman - 2
plhdr Aaron_Tan - 2
plhdrJennifer_Siravo - 1
plhdrJames_Busano - 3
Link an unedited screenshot of your admin record for all your characters on every account:Spoiler: show
Why did you previously leave the faction?: Due to unforeseen personal circumstances in real life, I had to step away from video games entirely to focus on managing the situation.
If you are currently in another official faction, what is the name of the faction?: N/A
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): N/A
- Link to your LS-RP forum account: Access