REINSTATEMENT REQUEST FORM — POLICE OFFICER
(Rev 05/2020)
SECTION 1: PERSONAL
- 1. YOUR FULL NAME:
- Last: Ortiz
First: Nicolas
Middle: Mark
- Last: Ortiz
SECTION 2: DEPARTMENT HISTORY
- 2. DEPARTMENT HISTORY:
- Position: Police Lieutenant II, Acting Commanding Officer, Training Division
Date of resignation/termination: 18/11/2023
Resignation/termination record: Access
- Position: Police Lieutenant II, Acting Commanding Officer, Training Division
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: N/A
Position: N/A
Date of resignation/termination: N/A
Name of agency: N/A
Position: N/A
Date of resignation/termination: N/A
- Name of agency: N/A
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:
plhdrNoah Ellis - 16
plhdrNicolas Ortiz - 10
plhdrAndre Dukes - 4
Link an unedited screenshot of your admin record for all your characters on every account:Spoiler: show
Why did you previously leave the faction?: Lack of motivation as I did not have much time to play. I stepped down to Reserve Police Officer I, however, the reserve scheme was discontinued.
If you are currently in another official faction, what is the name of the faction?: San Andreas Department of Corrections and Rehabilitation
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): I am not.
- Link to your LS-RP forum account: Access